Individual
BLAIRE ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
380 HIGHWAY 80 E STE A, CLINTON, MS 39056-4748
(601) 925-4727
Mailing address
4978 GREEN GABLE RD, TERRY, MS 39170-8081
(601) 260-2772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3937-17
MS
Other
Enumeration date
06/21/2017
Last updated
11/06/2020
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