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Individual

DR. MARISSA RENEE EMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
450 CONNECTOR RD # 200, GEORGETOWN, KY 40324-9729
(865) 233-8739
Mailing address
3792 STOLEN HORSE TRCE, LEXINGTON, KY 40509-2145
(231) 855-2800

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10898
KY
1223G0001X
General Practice Dentistry
11254
TN

Other

Enumeration date
06/08/2020
Last updated
09/21/2023
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