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
—
—
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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