Individual
ALESER POOKAYAPORN ALAHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5337 W GRANDE MARKET DR, APPLETON, WI 54913-8442
(920) 750-7334
(920) 404-2351
Mailing address
5337 W GRANDE MARKET DR, APPLETON, WI 54913-8442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001528-15
WI
Other
Enumeration date
06/05/2024
Last updated
08/07/2024
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