Individual
DR. RAYMOND JANUARIO FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5 ROCKCLIFF PL, ASHEVILLE, NC 28801-4510
(828) 255-7781
(828) 258-3770
Mailing address
5 ROCKCLIFF PL, ASHEVILLE, NC 28801-4510
(828) 255-7781
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3375
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3375
N.C. STATE DENTAL BOARD
NC
05
—
89902UT
—
NC
Enumeration date
08/04/2006
Last updated
07/08/2007
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