Radiant Smiles Series 2 LLC

NPI #1104132281 in Las Vegas, Nevada

Provider Information

NPI Number: 1104132281
Entity Type: Organization
Organization Name: Radiant Smiles Series 2 LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 26, 2010
Last Updated: Aug 26, 2010

Practice Location

Address: 8961 W SAHARA AVE STE 108
City: Las Vegas
State: Nevada
ZIP Code: 89117-5831
Phone: (702) 360-4800

Authorized Official

Name: MR. DAVID C GONZALEZ
Title: DIRECTOR
Phone: (702) 360-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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