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NPI Code Detail

MEDICARE: DR. RICHARD LUNT ROMNEY D.D.S.

MEDICARE: DR. RICHARD LUNT ROMNEY D.D.S.
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
11223G0001XGeneral Practice Dentistry35542CA

General Provider Information

NPI Number : 1699758219
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD LUNT ROMNEY D.D.S.
Provider Business Mailing Address
First Line : 150 VALPREDA RD
Second Line :
City : SAN MARCOS
State : CA
Zip : 92069-2973
Country : US
Telephone Number : 760-736-6794
Fax Number :
Provider Business Practice Location Address
First Line : 150 VALPREDA RD
Second Line :
City : SAN MARCOS
State : CA
Zip : 92069-2973
Country : US
Telephone Number : 760-736-6794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 10/02/2012

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