Provider Demographics
NPI:1932202140
Name:ROMANOWSKI, ANN WEGENER (DSD PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:WEGENER
Last Name:ROMANOWSKI
Suffix:
Gender:F
Credentials:DSD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 MALL DRIVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240
Mailing Address - Country:US
Mailing Address - Phone:319-337-5752
Mailing Address - Fax:319-351-8348
Practice Address - Street 1:1517 MALL DRIVE
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240
Practice Address - Country:US
Practice Address - Phone:319-337-5752
Practice Address - Fax:319-351-8348
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA72591223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics