Individual
DR. RONALD J. FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.P.H.
Contact information
Practice address
1337 BANCROFT AVE, SAN LEANDRO, CA 94577-5103
(510) 351-2812
(510) 351-2832
Mailing address
1337 BANCROFT AVE, SAN LEANDRO, CA 94577-5103
(510) 351-2812
(510) 351-2832
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
28544
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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