Individual
GABRIELLA BLAZQUEZ DEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MDS
Contact information
Practice address
3020 S MIAMI BLVD STE A, DURHAM, NC 27703-0965
(919) 598-9900
(919) 598-9500
Mailing address
3020 S MIAMI BLVD STE A, DURHAM, NC 27703-0965
(919) 598-9900
(919) 598-9500
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
112711
NC
1223E0200X
Endodontics
Primary
12711
NC
Other
Enumeration date
04/08/2022
Last updated
02/11/2026
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