| Radiance Endodontics | |
|
730 The Rialto Venice FL 34285-3524 | |
| (941) 484-8740 | |
| Not Available |
| Full Name | Radiance Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 730 The Rialto, Venice, Florida |
| Authorized Official Name and Position | Sheila Chandrahasa (MANAGING MEMBER) |
| Authorized Official Contact | 9414848740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiance Endodontics 730 The Rialto Venice FL 34285-3524 Ph: (941) 484-8740 | Radiance Endodontics 730 The Rialto Venice FL 34285-3524 Ph: (941) 484-8740 |
| NPI Number | 1649518069 |
|---|---|
| Provider Enumeration Date | 01/18/2013 |
| Last Update Date | 06/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649518069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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