Provider Demographics
NPI:1194366492
Name:HAROLD K FUNG, DMD,INC
Entity Type:Organization
Organization Name:HAROLD K FUNG, DMD,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:K
Authorized Official - Last Name:FUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:510-504-4486
Mailing Address - Street 1:345 9TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4206
Mailing Address - Country:US
Mailing Address - Phone:510-834-8386
Mailing Address - Fax:510-834-3682
Practice Address - Street 1:345 9TH ST STE 201
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4206
Practice Address - Country:US
Practice Address - Phone:510-834-8386
Practice Address - Fax:510-834-3682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental