| NPI | 1821835687 |
|---|---|
| Doing Business As | REVIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | GABRIELA MOFFETT CEO 305-905-5474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |