Whalio Doctors

NPI 1023001831

Ivan Roman, DDS

Practitioner Periodontics Fpo, AP

Practice location

Address
Psc 482 Box 1600, Fpo, AP 96362-0017
Phone
(098) 971-9355
Mailing address
3259 Catlin Ave Naval Health Clinic Quantico, Quantico, VA 22134

Registered specialties

Periodontics Primary
Dental Providers Taxonomy 1223P0300X Licence 40114 (CA)

Registry record

NPI
1023001831
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Aug 2005
Record last updated
25 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.