Provider Demographics
NPI:1417348806
Name:INROMA DENTAL, INC
Entity Type:Organization
Organization Name:INROMA DENTAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:JOHANNA
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-294-2711
Mailing Address - Street 1:13910 JOG RD
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-5907
Mailing Address - Country:US
Mailing Address - Phone:561-501-5759
Mailing Address - Fax:
Practice Address - Street 1:13910 JOG RD
Practice Address - Street 2:SUITE # 103
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-5907
Practice Address - Country:US
Practice Address - Phone:561-501-5759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN192521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty