Individual
EMARY CLIMACOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-2778
Mailing address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-2778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS110122
CA
1223G0001X
General Practice Dentistry
Primary
DDS110122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1516998713
DOD
—
Enumeration date
11/03/2021
Last updated
07/18/2025
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