Individual
MATTHEW EMRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
415 WATERFALL DR STE A, ELKHART, IN 46516-3660
(574) 293-8744
Mailing address
23765 PEPPERMINT PL, SOUTH BEND, IN 46614-9541
(765) 748-2836
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12014065A
IN
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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