Individual
EMILY ELIZABETH PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 OLYMPIC ST, SPRINGFIELD, OH 45503-2858
(937) 390-0493
Mailing address
2200 OLYMPIC ST, SPRINGFIELD, OH 45503-2858
(937) 390-0493
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30.026749
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
10/11/2022
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