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Dr. Emily Rose Nesic, DMD

Dentist in Lake Geneva, WI. Individual provider (NPI-1).

NPI number1962010249
StatusActive
Last updated in NPPESOct 25, 2021

Details

NPI
1962010249
Entity type
Individual (NPI-1)
Name
Dr. Emily Rose Nesic
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 22, 2020
Certification date
Oct 25, 2021
Last updated
Oct 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist100237915WIYes

Practice location

580 Broad St
Lake Geneva, WI 53147-1420

Phone 262-248-2773

Mailing address

570 Southwind Dr Unit 207
Lake Geneva, WI 53147-4713

Phone 815-830-5729

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Other Dentist providers in Lake Geneva, WI

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