DR. Jessica Wallace Mirrielees, DMD
NPI #1255666863 in Hanahan, South Carolina
Provider Information
- NPI Number
- 1255666863
- Entity Type
- Individual
- Name
- DR. Jessica Wallace Mirrielees, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DMD
- Enumeration Date
- Oct 15, 2009
- Last Updated
- May 27, 2021
Practice Location
- Address
- 996 TANNER FORD BLVD
- City
- Hanahan
- State
- South Carolina
- ZIP Code
- 29410-4780
- Phone
- (843) 212-8810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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