Individual
JENNIFER LAUREN MIRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 CLEARVIEW PKWY, METAIRIE, LA 70001-2437
(504) 535-4179
Mailing address
1000 GIROD ST, NEW ORLEANS, LA 70113-1989
(973) 985-9693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7018
LA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7018
LA
Other
Enumeration date
08/19/2019
Last updated
08/27/2019
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