| Raymond H. Funada, D.d.s., Inc. | |
|
2000 Forest Ave Suite C San Jose CA 95128-4831 | |
| (408) 287-5900 | |
| Not Available |
| Full Name | Raymond H. Funada, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2000 Forest Ave, San Jose, California |
| Authorized Official Name and Position | Raymond Funada (DENTIST) |
| Authorized Official Contact | 4082875900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond H. Funada, D.d.s., Inc. 2000 Forest Ave Suite C San Jose CA 95128-4831 Ph: () - | Raymond H. Funada, D.d.s., Inc. 2000 Forest Ave Suite C San Jose CA 95128-4831 Ph: (408) 287-5900 |
| NPI Number | 1346349941 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 05/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346349941 | NPI | - | NPPES |
| 609294 | Other | CA | UNITED CONCORDIA PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37965 (California) | Primary |
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