Individual
GONZALO ROMO DE MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5 WEBSTER SQUARE RD, BERLIN, CT 06037-2326
(860) 828-3559
Mailing address
5 WEBSTER SQUARE RD, BERLIN, CT 06037-2326
(347) 237-2824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
010901
CT
Other
Enumeration date
04/04/2011
Last updated
09/20/2021
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