Healthcare Provider Details

I. General information

NPI: 1902650864
Provider Name (Legal Business Name): SOFIA GIULIANA ROMANA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3990 LIMELIGHT AVE UNIT A
CASTLE ROCK CO
80109-8036
US

IV. Provider business mailing address

3990 LIMELIGHT AVE UNIT A
CASTLE ROCK CO
80109-8036
US

V. Phone/Fax

Practice location:
  • Phone: 720-549-8555
  • Fax:
Mailing address:
  • Phone: 720-492-1362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN00206715
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: