Individual
ALISHA KAY KOXLIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
19815 E GALE AVE, GALESVILLE, WI 54630-7313
(608) 582-4115
Mailing address
N20777 US HIGHWAY 53, GALESVILLE, WI 54630-8634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001302-15
WI
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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