Provider Demographics
NPI:1295009652
Name:DR L ROMAGUERA-PAZMINO DMD PA
Entity Type:Organization
Organization Name:DR L ROMAGUERA-PAZMINO DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMAGUERA-PAZMINO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-867-5160
Mailing Address - Street 1:526 42ND ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2989
Mailing Address - Country:US
Mailing Address - Phone:201-867-5160
Mailing Address - Fax:201-867-9979
Practice Address - Street 1:526 42ND ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2989
Practice Address - Country:US
Practice Address - Phone:201-867-5160
Practice Address - Fax:201-867-9979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI015844001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty