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NPI Code Detail

MEDICARE: DR. ALEJANDRO ALBERTO ROMERO DELMASTRO DDS

MEDICARE:  DR. ALEJANDRO ALBERTO ROMERO DELMASTRO  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry352OK
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry196OK

General Provider Information

NPI Number : 1013204601
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEJANDRO ALBERTO ROMERO DELMASTRO DDS
Provider Business Mailing Address
First Line : 402 S OAKWOOD RD STE A
Second Line :
City : ENID
State : OK
Zip : 73703-4945
Country : US
Telephone Number : 580-233-2557
Fax Number : 580-233-2563
Provider Business Practice Location Address
First Line : 402 S OAKWOOD RD STE A
Second Line :
City : ENID
State : OK
Zip : 73703-4945
Country : US
Telephone Number : 580-233-2557
Fax Number : 580-233-2563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2011
Last Update Date : 03/10/2019

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Directions to “ DR. ALEJANDRO ALBERTO ROMERO DELMASTRO DDS” Practice Location

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