DR. IDENIS FUNDORA, DDS
Dentist - General Practice
Active
Individual
NPI: 1114297447
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 47621 (CA) |
Frequently Asked Questions
NPI 1114297447 is the National Provider Identifier for DR. IDENIS FUNDORA, DDS, a Dentist - General Practice provider located in Los Angeles, CA. This NPI was enumerated on January 3, 2012.
DR. IDENIS FUNDORA, DDS practices at 9201 W SUNSET BLVD STE 315, Los Angeles, CA 90069.
Quick Facts
- NPI
- 1114297447
- Type
- Individual
- Enumerated
- Jan 3, 2012
- Last Updated
- Jan 3, 2012
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