Jodi W Funk

NPI #1235204181 in Spokane, Washington

Provider Information

NPI Number
1235204181
Entity Type
Organization
Organization Name
Jodi W Funk
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 22, 2006
Last Updated
Jun 18, 2008

Practice Location

Address
2829 S GRAND BLVD
Address 2
STE 301
ZIP Code
99203
Phone
(509) 747-4242

Authorized Official

Name
DR. JODI W FUNK, DDS
Title
OWNER PRESIDNET
Phone
(509) 747-4242

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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