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1982492864
ALISSA EDWARDS DDS LLC
APPLETON, WI
NPI
1982492864
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Entity Type
Organization
Authorized Contact
ALISSA PONCZOCH
Owner
414-975-2240
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2025-04-29
Last Update Date
2025-04-30
Business Address
ALISSA EDWARDS DDS LLC
229 E FRANKLIN ST
APPLETON, WI 54911-5434
Phone number: 920-733-2371
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Mailing Address
ALISSA EDWARDS DDS LLC
N2714 BUCKHORN DR
APPLETON, WI 54913-9611
Phone number: 414-975-2240
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