| NPI | 1427446913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD EDWARD ROMSA Oral Surgeon 262-886-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 0002539) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |