Radiant Dental 1
NPI #1225218951 in Las Vegas, Nevada
Provider Information
- NPI Number
- 1225218951
- Entity Type
- Organization
- Organization Name
- Radiant Dental 1
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Nov 9, 2007
- Last Updated
- Nov 9, 2007
Practice Location
Authorized Official
- Name
- DAVID C GONZALEZ
- Title
- OWNER
- Phone
- (702) 610-5458
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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