Darek Ray Fonder
Darek Ray Fonder is a Dental Assistant in Riverside, California. Licensed in California. Registered with an NPI since 2020.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
2862 Canyon Springs PkwyRiverside, CA 92507-0928
Phone: (310) 344-7632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Assistant (primary) | Taxonomy 126800000X · Licence 93206 (CA) |
|---|
Record details
| NPI number | 1588275291 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 14, 2020 |
| Last updated in NPPES | August 14, 2020 |
| Certification date | August 14, 2020 |
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