Provider Demographics
NPI:1982795936
Name:ROMO, DANIEL V
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:V
Last Name:ROMO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13215 PENN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-1722
Mailing Address - Country:US
Mailing Address - Phone:562-696-2862
Mailing Address - Fax:562-945-9709
Practice Address - Street 1:13215 PENN ST
Practice Address - Street 2:SUITE
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-1722
Practice Address - Country:US
Practice Address - Phone:562-696-2862
Practice Address - Fax:562-945-9709
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38122122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist