Organization
PAULA J ROEMER, DDS INC
Active
Other names
SMILE WALNUT CREEK
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA J ROEMER D.D.S. (DENTIST)
(925) 937-2100
Entity
Organization
Contact information
Practice address
1901 OLYMPIC BLVD, SUITE 105, WALNUT CREEK, CA 94596-5076
(925) 937-2100
(925) 937-1695
Mailing address
1901 OLYMPIC BLVD, SUITE 105, WALNUT CREEK, CA 94596-5076
(925) 937-2100
(925) 937-1695
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
33500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233500
DELTA PROVIDER NUMBER
—
01
—
33500
STATE LICENSE
CA
Enumeration date
11/05/2008
Last updated
01/13/2011
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