Radiant Dental LLC
NPI #1720748049 in Black Canyon City, Arizona
Provider Information
- NPI Number
- 1720748049
- Entity Type
- Organization
- Organization Name
- Radiant Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 28, 2021
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 19251 E OASIS DR
- State
- Arizona
- ZIP Code
- 85324-8878
- Phone
- (623) 526-2607
Authorized Official
- Name
- BRENDA LIANA ARMES
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (818) 577-7367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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