Individual provider · Type 1 NPI

Idenis Fundora, DDS

General Practice Dentistry · Los Angeles, CA

NPI number 1114297447 Active

About NPI 1114297447

Idenis Fundora, DDS's National Provider Identifier is 1114297447, issued on Jan 3, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 3, 2012.