Individual
BRIELLE LYNN LIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1501 E CAMP MOHAVE RD # 1, BULLHEAD CITY, AZ 86426-9406
(928) 758-8887
Mailing address
2209 E VIA DEL AQUA DR, BULLHEAD CITY, AZ 86426-7033
(661) 645-7306
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009815
AZ
Other
Enumeration date
07/25/2017
Last updated
03/04/2020
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