| Radiance Dental | |
|
19301 Se 34th St Ste. 101 Camas WA 98607-8881 | |
| (360) 369-6420 | |
| Not Available |
| Full Name | Radiance Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19301 Se 34th St, Camas, Washington |
| Authorized Official Name and Position | Kathy Zakharyuk (MANAGER) |
| Authorized Official Contact | 3603696420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiance Dental 19301 Se 34th St Ste. 101 Camas WA 98607-8881 Ph: (360) 369-6420 | Radiance Dental 19301 Se 34th St Ste. 101 Camas WA 98607-8881 Ph: (360) 369-6420 |
| NPI Number | 1750703468 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750703468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Washington) | Primary |
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