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Organization
BRUCE W. ROMAN, D.D.S., P.C.
Active
Organization
BRUCE W. ROMAN, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE WALTER ROMAN D.D.S. (PRESIDENT)
(541) 672-5721
Entity
Organization
Contact information
Practice address
500 SE DOUGLAS AVE, ROSEBURG, OR 97470-3120
(541) 672-5721
(541) 672-7663
Mailing address
500 SE DOUGLAS AVE, ROSEBURG, OR 97470-3120
(541) 672-5721
(541) 672-7663
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
D8534
OR
Other
Enumeration date
10/26/2009
Last updated
06/29/2010
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