Rudolph E. Roman, D.m.d, INC
NPI #1992421119 in Santee, California
Provider Information
- NPI Number
- 1992421119
- Entity Type
- Organization
- Organization Name
- Rudolph E. Roman, D.m.d, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 19, 2022
- Last Updated
- Oct 19, 2022
Practice Location
- Address
- 9510 CUYAMACA ST STE 102
- City
- Santee
- State
- California
- ZIP Code
- 92071-2686
- Phone
- (619) 449-6009
Authorized Official
- Name
- JENNY GARCIA-ROCHA
- Title
- CREDENTIALING LEAD
- Phone
- (972) 869-3789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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