| Radiance Dental Pllc | |
|
13841 Hull Street Rd # Site5 Midlothian VA 23112-2056 | |
| (804) 739-6818 | |
| Not Available |
| Full Name | Radiance Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13841 Hull Street Rd # Site5, Midlothian, Virginia |
| Authorized Official Name and Position | Ashley Gentry (OFFICE MANAGER) |
| Authorized Official Contact | 8047396818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiance Dental Pllc 13841 Hull Street Rd # Site5 Midlothian VA 23112-2056 Ph: (804) 739-6818 | Radiance Dental Pllc 13841 Hull Street Rd # Site5 Midlothian VA 23112-2056 Ph: (804) 739-6818 |
| NPI Number | 1245800291 |
|---|---|
| Provider Enumeration Date | 06/30/2021 |
| Last Update Date | 06/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245800291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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