Radiant Dental

NPI #1376843078 in Buford, Georgia

Provider Information

NPI Number
1376843078
Entity Type
Organization
Organization Name
Radiant Dental
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Oct 27, 2010
Last Updated
Oct 27, 2010

Practice Location

Address
4745 NELSON BROGDON BLVD
City
Buford
State
Georgia
ZIP Code
30518
Phone
(770) 271-4411

Authorized Official

Name
DR. NIMISHA PATEL
Title
DENTIST
Phone
(770) 271-4411

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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