Provider Demographics
NPI:1073808259
Name:NUNEZ ROMERO, CLARA LUCIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLARA
Middle Name:LUCIA
Last Name:NUNEZ ROMERO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10808 MONROE RD
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-7305
Mailing Address - Country:US
Mailing Address - Phone:704-705-4744
Mailing Address - Fax:704-973-0902
Practice Address - Street 1:10808 MONROE RD
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-7305
Practice Address - Country:US
Practice Address - Phone:704-705-4744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-15
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice