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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