MEDICARE: CLAUDIA ROMANO-HOARD, D.D.S., A PROFESSIONAL DENTAL CORPORATION

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
1	1223G0001X	General Practice Dentistry	41990	CA

General Provider Information

NPI Number	:	1245628346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLAUDIA ROMANO-HOARD, D.D.S., A PROFESSIONAL DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	1537 LOMITA BLVD
Second Line	:
City	:	HARBOR CITY
State	:	CA
Zip	:	90710-2024
Country	:	US
Telephone Number	:	310-530-5252
Fax Number	:	310-530-6922

Provider Business Practice Location Address
First Line	:	1537 LOMITA BLVD
Second Line	:
City	:	HARBOR CITY
State	:	CA
Zip	:	90710-2024
Country	:	US
Telephone Number	:	310-530-5252
Fax Number	:	310-530-6922

Authorized Official
Title or Position	:	OWNER
Name	:	CLAUDIA ROMANO
Credential	:	D.D.S.
Telephone Number	:	310-530-5252

Provider Enumeration Date	:	12/26/2014
Last Update Date	:	12/26/2014

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