| NPI | 1700603271 |
|---|---|
| Doing Business As | MIRELEZ REVITALIZE DENTAL IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSE A MIRELEZ Owner 559-977-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |