Provider Demographics
NPI:1053649004
Name:CARLOS J. ROMERO D.D.S. AND ASSOCIATES P.L.L.C
Entity Type:Organization
Organization Name:CARLOS J. ROMERO D.D.S. AND ASSOCIATES P.L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-337-2845
Mailing Address - Street 1:3830 CRESTWIND
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-8190
Mailing Address - Country:US
Mailing Address - Phone:956-337-2845
Mailing Address - Fax:
Practice Address - Street 1:2439 MONARCH DR
Practice Address - Street 2:SUITE 4
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-6329
Practice Address - Country:US
Practice Address - Phone:956-337-2845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARLOS J. ROMERO D.D.S. & ASSOCIATES P.L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-03
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty