Individual
DR. BRIANNE ELIZABETH MEZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1500 W PARNALL RD, JACKSON, MI 49201-8660
(517) 740-2895
Mailing address
5706 HORTON RD, JACKSON, MI 49201-9750
(517) 740-2895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022635
MI
332B00000X
Durable Medical Equipment & Medical Supplies
2901022635
MI
Other
Enumeration date
05/26/2018
Last updated
10/01/2019
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