Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 8302 | WA |
NPI | 1043386543 |
---|---|
Provider Name | Dr. Andrew D. Romero |
First Address | Bothell, WA 98011-2970 |
Second Address | Bothell, WA 98011-2970 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 08/07/2007 |