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Dr. Romeo Dipasupil, DDS
General Practice Dentistry in Jackson, California
NPI 1548470024

Romeo Dipasupil is a General Practice Dentistry based in Angels Camp, CA and is specialized in General Practice. Romeo Dipasupil practices in Jackson, CA and has the professional credentials of DDS. The NPI Number for Romeo Dipasupil is 1548470024 and holds a License No. 37813 (California).

The current practice location address for Romeo Dipasupil is 12150 New York Ranch Rd, Jackson, CA and can be reached out via phone at 209-257-2460 and via fax at 209-257-2464.

Location: 12150 New York Ranch Rd, Jackson, CA, 95222-0939
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548470024
Provider Name
Romeo Dipasupil
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12150 New York Ranch Rd, Jackson, CA, 95222-0939
Phone Number
209-257-2460
Fax Number
209-257-2464
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330759641 01 CA TAX IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
12150 New York Ranch Rd
City
Jackson
State
California
Zip
95642-9407
Phone Number
209-257-2460
Fax Number
209-257-2464
person
Provider Business Mailing Address Details
Address
12150 New York Ranch Rd
City
Jackson
State
California
Zip
95642-9407
Phone Number
209-257-2460
Fax Number
209-257-2464
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
37813 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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