Individual
EMILY NICOLE CROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
686 CORYLUS DR, PATASKALA, OH 43062-7628
(740) 964-3500
(740) 964-3502
Mailing address
686 CORYLUS DR, PATASKALA, OH 43062-7628
(740) 964-3500
(740) 964-3502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027118
OH
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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