Individual
BLAIRE MIRMOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
301 LLOYD ST, CARRBORO, NC 27510-1823
(919) 933-8494
Mailing address
301 LLOYD ST, CARRBORO, NC 27510-1823
(919) 933-8494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12299
NC
1223G0001X
General Practice Dentistry
Primary
12299
NC
Other
Enumeration date
03/28/2020
Last updated
05/21/2024
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