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Organization
J. A. MIRELEZ JR DDS INC.
Active
Organization
J. A. MIRELEZ JR DDS INC.
Active
Other names
Mirelez Revitalize Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A MIRELEZ DDS (OWNER)
(559) 977-6565
Entity
Organization
Contact information
Practice address
145 N CLOVIS AVE STE 102, CLOVIS, CA 93612-0361
(559) 314-1310
(559) 314-1311
Mailing address
145 N CLOVIS AVE STE 102, CLOVIS, CA 93612-0361
(559) 314-1310
(559) 314-1311
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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