Individual
KYLE JOHN EMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6110 PINE MOUNTAIN RD NW STE 101, KENNESAW, GA 30152-3335
(770) 426-0503
Mailing address
1310 COBBLEMILL WAY NW, KENNESAW, GA 30152-5200
(770) 851-3190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN016093
GA
Other
Enumeration date
06/30/2020
Last updated
08/21/2023
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