| Randy A. Barone, DDS, LLC | |
|
250 W Country Club Rd Roswell NM 88201-5250 | |
| (575) 623-4161 | |
| (575) 623-4144 |
| Full Name | Randy A. Barone, DDS, LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 250 W Country Club Rd, Roswell, New Mexico |
| Authorized Official Name and Position | Tammy Barone (OFFICE MANAGER) |
| Authorized Official Contact | 5756234161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randy A. Barone, DDS, LLC 250 W Country Club Rd Roswell NM 88201-5250 Ph: (575) 623-4161 | Randy A. Barone, DDS, LLC 250 W Country Club Rd Roswell NM 88201-5250 Ph: (575) 623-4161 |
| NPI Number | 1558456368 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558456368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD1910 (New Mexico) | Primary |
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