Organization
CM ROMENESKO DDS SC
Active
Other names
Richard L. Romenesko DDS, SC
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL A BUTLER (BUSINESS MANAGER)
(920) 739-7848
Entity
Organization
Contact information
Practice address
2510 E EVERGREEN DR, APPLETON, WI 54913
(920) 739-7848
Mailing address
2510 E. EVERGREEN DRIVE, APPLETON, WI 54913
(920) 739-7848
(920) 903-1004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215124862
NPI DR CALLIE ROMENESKO
WI
Enumeration date
03/01/2022
Last updated
03/01/2022
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