Individual
DR. ROMEO NANTES LAUREANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
120 W STEPHEN FOSTER AVE, SUITE 107, BARDSTOWN, KY 40004
(502) 348-1155
(502) 348-3277
Mailing address
120 W STEPHEN FOSTER AVE, SUITE 107, BARDSTOWN, KY 40004
(502) 348-1155
(502) 348-3277
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7099
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
7099
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000113034
BLUE CROSS
KY
05
—
60070992
—
KY
05
—
64070998
—
KY
Enumeration date
11/02/2005
Last updated
03/18/2008
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