Provider Demographics
NPI:1265534838
Name:DO, DARREN T (DDS)
Entity type:Individual
Prefix:DR
First Name:DARREN
Middle Name:T
Last Name:DO
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:2860 MICHELLE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1009
Mailing Address - Country:US
Mailing Address - Phone:714-508-3600
Mailing Address - Fax:714-368-2092
Practice Address - Street 1:435 S MELROSE DR
Practice Address - Street 2:STE. 105
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-6661
Practice Address - Country:US
Practice Address - Phone:760-758-7580
Practice Address - Fax:760-758-1995
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA493031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice