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Individual

DR. EMILY ANN MAYNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
125 N PANSY ST, ISHPEMING, MI 49849-3015
(906) 485-5575
Mailing address
22824 RIDGEWAY ST, SAINT CLAIR SHORES, MI 48080-4094
(586) 879-8043

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601071
MI

Other

Enumeration date
06/30/2021
Last updated
06/30/2021
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