REVIVE DENTISTRY, PLLC

ORANGE CITY, FL
NPI1023975547
Entity TypeOrganization
Authorized ContactOMID KHEZRI
Dentist
765-631-0659
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2026-01-07
Last Update Date2026-01-07
Business Address
REVIVE DENTISTRY, PLLC
272 E GRAVES AVE
ORANGE CITY, FL 32763-5269
Phone number: 386-775-4300
Mailing Address
REVIVE DENTISTRY, PLLC
272 E GRAVES AVE
ORANGE CITY, FL 32763-5269
Phone number: 386-775-4300
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