Individual
DR. WAEL ROUMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
74 ECLIPSE CTR, BELOIT, WI 53511
(608) 361-0311
Mailing address
74 ECLIPSE CTR, BELOIT, WI 53511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
682215
WI
1223G0001X
General Practice Dentistry
682215
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2010
Last updated
03/12/2012
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