Provider Demographics
NPI:1801875703
Name:FUNG, ROBYN WING-BIK (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:WING-BIK
Last Name:FUNG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:973 MANHATTAN BEACH BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-5131
Mailing Address - Country:US
Mailing Address - Phone:310-545-4549
Mailing Address - Fax:310-545-8011
Practice Address - Street 1:973 MANHATTAN BEACH BLVD STE E
Practice Address - Street 2:
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-5131
Practice Address - Country:US
Practice Address - Phone:310-545-4549
Practice Address - Fax:310-545-8011
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA425481223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry