Individual
ALISON ANN AGNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2388 S ONEIDA ST, ASHWAUBENON, WI 54304-5256
(920) 785-5130
Mailing address
1011 SADDLE CREEK LN, CRYSTAL LAKE, IL 60014-1934
(815) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001866-15
WI
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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