| Jodi W Funk | |
|
2829 S Grand Blvd Ste 301 Spokane WA 99203 | |
| (509) 747-4242 | |
| (509) 747-3512 |
| Full Name | Jodi W Funk |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2829 S Grand Blvd, Spokane, Washington |
| Authorized Official Name and Position | Jodi W Funk (OWNER PRESIDNET) |
| Authorized Official Contact | 5097474242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi W Funk 2829 S Grand Blvd Ste 301 Spokane WA 99203 Ph: (509) 747-4242 | Jodi W Funk 2829 S Grand Blvd Ste 301 Spokane WA 99203 Ph: (509) 747-4242 |
| NPI Number | 1235204181 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235204181 | NPI | - | NPPES |
| 5021091 | Other | WA | DEPT OF SOCIAL & HEALTH S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00001693 (Washington) | Primary |
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