Radiant Dental Care, LLC

NPI #1760209209 in Hialeah, Florida

Provider Information

NPI Number: 1760209209
Entity Type: Organization
Organization Name: Radiant Dental Care, LLC
Primary Specialty: Dentist
Enumeration Date: Sep 25, 2024
Last Updated: Sep 25, 2024

Practice Location

Address: 4445 W 16TH AVE STE 501
City: Hialeah
State: Florida
ZIP Code: 33012-4695
Phone: (305) 321-3107

Authorized Official

Name: DR. JORGE EMILIO VAZQUEZ, DMD
Title: DENTIST/ OWNER
Phone: (305) 321-3107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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