Individual
DR. ALICIA GOLOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5433 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1382
(414) 445-6500
(414) 445-6618
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001139
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043611155
—
WI
Enumeration date
09/08/2014
Last updated
03/17/2018
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