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
ZIP Code
29410-4780
Phone
(843) 212-8810

Specialties & Taxonomy Codes

Specialty
Dentist

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