ALISSA EDWARDS DDS LLC

APPLETON, WI
NPI1982492864
Entity TypeOrganization
Authorized ContactALISSA PONCZOCH
Owner
414-975-2240
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2025-04-29
Last Update Date2025-04-30
Business Address
ALISSA EDWARDS DDS LLC
229 E FRANKLIN ST
APPLETON, WI 54911-5434
Phone number: 920-733-2371
Mailing Address
ALISSA EDWARDS DDS LLC
N2714 BUCKHORN DR
APPLETON, WI 54913-9611
Phone number: 414-975-2240