| NPI | 1346349941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND FUNADA Dentist 408-287-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37965) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-05-21 |