Individual
DR. JULIUS ROMON THEOPHILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
#1 HOSPITAL ROAD, QUENTIN N. BURDICK PHS HOSPITAL, BELCOURT, ND 58316-0160
(701) 477-8439
(701) 477-8402
Mailing address
2908 W 37TH CIR STE 206, SIOUX FALLS, SD 57105-8113
(605) 941-1701
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018049
MI
Other
Enumeration date
08/04/2006
Last updated
11/29/2011
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