Radiant Smiles Series 4 LLC

NPI #1154637890 in Las Vegas, Nevada

Provider Information

NPI Number: 1154637890
Entity Type: Organization
Organization Name: Radiant Smiles Series 4 LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 19, 2010
Last Updated: Aug 19, 2010

Practice Location

Address: 4510 S EASTERN AVE STE 2
City: Las Vegas
State: Nevada
ZIP Code: 89119-6118
Phone: (702) 368-0911

Authorized Official

Name: RAYMOND FABIAN CORDERO
Title: DIRECTOR
Phone: (702) 368-0911

Specialties & Taxonomy Codes

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

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