| NPI | 1558017459 |
|---|---|
| Former Legal Business Name | RICHARD L. ROMENESKO DDS, SC |
| Entity Type | Organization |
| Authorized Contact | KENDALL A BUTLER Business Manager 920-739-7848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-01 |