Individual
LINA A MIRAZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5185 S MAIN ST, COWPENS, SC 29330-9254
(864) 463-3232
Mailing address
PO BOX 298, COWPENS, SC 29330-0298
(864) 463-3232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4646
SC
Other
Enumeration date
08/04/2009
Last updated
08/04/2015
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