Radiant Smiles

NPI #1417408477 in Las Vegas, Nevada

Provider Information

NPI Number: 1417408477
Entity Type: Organization
Organization Name: Radiant Smiles
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 14, 2016
Last Updated: Oct 14, 2016

Practice Location

Address: 1825 S NELLIS BLVD
City: Las Vegas
State: Nevada
ZIP Code: 89104-6215
Phone: (702) 432-0199

Authorized Official

Name: ADRIAN RUIZ, DDS
Title: OWNER DENTIST
Phone: (702) 432-0199

Specialties & Taxonomy Codes

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

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