Aleser Pookayaporn Alahmad, DDS Valid NPI

Individual provider · General Practice Dentistry · Appleton, WI

NPI

1992546501

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

6001528-15 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2024-06-05

Last updated

2024-08-07