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Individual
MATTHEW ROMA
Active
Individual
MATTHEW ROMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
052562
NY
122300000X
Dentist
102495
CA
1223G0001X
General Practice Dentistry
Primary
102495
CA
Other
Enumeration date
11/13/2006
Last updated
04/28/2024
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