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DR. LISA JAYNE KOENIG BCHD, DDS, MS

Oral and Maxillofacial Radiology

Milwaukee, Wisconsin

Provider NPI: 1518052174

Provider Information:
DR. LISA JAYNE KOENIG BCHD, DDS, MS
Gender: F
Not Sole Proprietor

Practice Location:
MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY 1801 WEST WISCONSIN AVENUE MILWAUKEE, WI 53233 US
Tel: 414-288-5675  Fax: 414-288-6081

Business Mailing Address:
MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY PO BOX 1881 MILWAUKEE, WI 53201 US
Tel: 414-288-5675  Fax: 414-288-6081

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0008XDental Providers
Dentist
Oral and Maxillofacial Radiology
WI3846





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