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Individual

EMILY H NIETO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD, MPH

Contact information

Practice address
2920 N 4TH ST, FLAGSTAFF, AZ 86004-1816
(928) 522-9405
(928) 522-9537
Mailing address
PO BOX 1231, TUCSON, AZ 85702-1231
(520) 670-3909
(520) 309-2560

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011710
AZ
1223G0001X
General Practice Dentistry
DD4122
NM

Other

Enumeration date
08/01/2014
Last updated
04/22/2026
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