Idenis Fundora DDS

NPI 1114297447 - Dentist - 1223G0001X

NPI Details
NPI 1114297447
Gender Female
Enumeration Date 01/03/2012
Last Updated 01/03/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
9201 W SUNSET BLVD STE 315
LOS ANGELES CA, 90069-3704, US
Phone (310) 274-7124
Fax
Business Location
9201 W SUNSET BLVD STE 315
LOS ANGELES CA, 90069-3704, US
Phone (310) 274-7124
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 47621
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According to our database, Dr. Idenis Fundora DDS NPI is 1114297447, taxonomy code is 1223G0001X and license number is 47621, license state is located at California. Idenis Fundora DDS physically located at 9201 W Sunset Blvd Ste 315, Los Angeles CA, 90069-3704. NPI Number Idenis Fundora DDS has the Individual type.

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1114297447 NPI number is provided on an as is basis without warranty of any kind. 1114297447 is maintained by the National Plan & Provider Enumeration System. The contents of Idenis Fundora DDS are for informational purposes only.