Graciela Romo

NPI #1841831732 in Glen Carbon, Illinois

Provider Information

NPI Number: 1841831732
Entity Type: Individual
Name: Graciela Romo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Oct 2, 2019
Last Updated: Oct 2, 2019

Practice Location

Address: 3024 S STATE ROUTE 159
City: Glen Carbon
State: Illinois
ZIP Code: 62034-3109
Phone: (618) 205-6119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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