Provider Demographics
NPI:1457469694
Name:RO, PAUL SUNGHEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SUNGHEE
Last Name:RO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2209 PITTSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-1121
Mailing Address - Country:US
Mailing Address - Phone:915-921-5331
Mailing Address - Fax:915-921-5333
Practice Address - Street 1:PAUL RO, DDS
Practice Address - Street 2:2531 E. YANDELL DR
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903
Practice Address - Country:US
Practice Address - Phone:915-921-5331
Practice Address - Fax:915-921-5333
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208771223D0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223D0001XDental ProvidersDentistDental Public Health