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Individual

DR. EMILY NICOLE CARUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
94223 4TH ST, GOLD BEACH, OR 97444-7756
(541) 837-1682
Mailing address
43 SHADDEN SPGS, JOHNSON CITY, TN 37615-4195
(904) 361-8641

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
12013477A
IN
1223G0001X
General Practice Dentistry
Primary
D118877
OR

Other

Enumeration date
08/21/2020
Last updated
09/26/2023
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