Provider Demographics
NPI:1902990351
Name:STREPKA & ROMERO, DDS, PLLC
Entity Type:Organization
Organization Name:STREPKA & ROMERO, DDS, PLLC
Other - Org Name:SANDALWOOD FAMILY & COSMETIC DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMILLA
Authorized Official - Middle Name:JENNINGS
Authorized Official - Last Name:OHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-503-5094
Mailing Address - Street 1:14738 MESITA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083
Mailing Address - Country:US
Mailing Address - Phone:713-503-5094
Mailing Address - Fax:
Practice Address - Street 1:24150 HIGHWAY 290
Practice Address - Street 2:SUITE 100
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429
Practice Address - Country:US
Practice Address - Phone:713-503-5094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty