| CM Romenesko DDS SC | |
|
2510 E Evergreen Dr Appleton WI 54913 | |
| (920) 739-7848 | |
| Not Available |
| Full Name | CM Romenesko DDS SC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2510 E Evergreen Dr, Appleton, Wisconsin |
| Authorized Official Name and Position | Kendall a Butler (BUSINESS MANAGER) |
| Authorized Official Contact | 9207397848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| CM Romenesko DDS SC 2510 E. Evergreen Drive Appleton WI 54913 Ph: (920) 739-7848 | CM Romenesko DDS SC 2510 E Evergreen Dr Appleton WI 54913 Ph: (920) 739-7848 |
| NPI Number | 1558017459 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Certification Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558017459 | NPI | - | NPPES |
| 1215124862 | Other | WI | NPI DR CALLIE ROMENESKO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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