Individual
DR. EMILY ROSE NESIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
580 BROAD ST, LAKE GENEVA, WI 53147-1420
(262) 248-2773
Mailing address
570 SOUTHWIND DR UNIT 207, LAKE GENEVA, WI 53147-4713
(815) 830-5729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100237915
WI
Other
Enumeration date
07/22/2020
Last updated
10/25/2021
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