Radiant Smiles Series 1 LLC

NPI #1841506995 in Las Vegas, Nevada

Provider Information

NPI Number: 1841506995
Entity Type: Organization
Organization Name: Radiant Smiles Series 1 LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 27, 2010
Last Updated: Sep 2, 2010

Practice Location

Address: 1825 S NELLIS BLVD
City: Las Vegas
State: Nevada
ZIP Code: 89104-6215
Phone: (702) 452-3552

Authorized Official

Name: MRS. DRINA RAQUEL BARIN
Title: DIRECTOR
Phone: (702) 452-3552

Specialties & Taxonomy Codes

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

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