# RANDY A. BARONE, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558456368
- **Authorized official:** MRS. TAMMY BARONE (OFFICE MANAGER)
- **Authorized official phone:** (575) 623-4161

## Contact information

- **Practice address:** 250 W COUNTRY CLUB RD, ROSWELL, NM 88201-5250
- **Practice address phone:** (575) 623-4161
- **Practice address fax:** (575) 623-4144
- **Mailing address:** 250 W COUNTRY CLUB RD, ROSWELL, NM 88201-5250
- **Mailing address phone:** (575) 623-4161
- **Mailing address fax:** (575) 623-4144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DD1910 | NM | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 05/14/2015