MEDICARE: KENDRA ROMERO

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	124Q00000X	Dental Hygienist	DH4742	NM

General Provider Information

NPI Number	:	1316870595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA ROMERO

Provider Business Mailing Address
First Line	:	PO BOX 2971
Second Line	:
City	:	RANCHOS DE TAOS
State	:	NM
Zip	:	87557-2971
Country	:	US
Telephone Number	:	575-779-8722
Fax Number	:

Provider Business Practice Location Address
First Line	:	707 PASEO DEL PUEBLO SUR
Second Line	:
City	:	TAOS
State	:	NM
Zip	:	87571-5997
Country	:	US
Telephone Number	:	575-779-8722
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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Directions to “ KENDRA ROMERO ” Practice Location

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