Individual
DOROTA ROMEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
212 SOUTH ALLEN STREET, SUITE 208, STATE COLLEGE, PA 16801-4840
(814) 272-0308
(814) 272-0328
Mailing address
40 FOREST GLEN CIRCLE, PORT MATILDA, PA 16870-7124
(814) 237-5887
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS028748L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28748PA
DELTA DENTAL
—
01
—
980306
UNITED CONCORDIA
—
Enumeration date
03/02/2007
Last updated
07/08/2007
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