Radiance Smile Solutions, Pllc

NPI #1043816093 in Boulder, Colorado

Provider Information

NPI Number: 1043816093
Entity Type: Organization
Organization Name: Radiance Smile Solutions, Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 7, 2020
Last Updated: Dec 7, 2020

Practice Location

Address: 350 BROADWAY ST STE 140
City: Boulder
State: Colorado
ZIP Code: 80305-3306
Phone: (303) 447-2281

Authorized Official

Name: DR. RADIP UPRETY, DDS
Title: DENTIST/ OWNER
Phone: (612) 226-0695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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