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Organization
NESIC DENTL LOUNGE
Active
Organization
NESIC DENTL LOUNGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY ROSE NESIC DMD (OWNER)
(815) 830-5729
Entity
Organization
Contact information
Practice address
N71 W13040 W APPLETON AVENUE, SUITE 200, MENOMONEE FALLS, WI 53051
(815) 830-5729
Mailing address
570 SOUTHWIND DR UNIT 207, LAKE GENEVA, WI 53147-4713
(815) 830-5729
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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