| Radiant Smiles Family Dental | |
|
18523 Corwin Rd Ste C Apple Valley CA 92307-2300 | |
| (760) 884-3764 | |
| Not Available |
| Full Name | Radiant Smiles Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 18523 Corwin Rd Ste C, Apple Valley, California |
| Authorized Official Name and Position | Sumathi Chandrashekhar (CEO) |
| Authorized Official Contact | 7606285664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Smiles Family Dental 18523 Corwin Rd Ste C Apple Valley CA 92307-2300 Ph: (760) 884-3764 | Radiant Smiles Family Dental 18523 Corwin Rd Ste C Apple Valley CA 92307-2300 Ph: (760) 884-3764 |
| NPI Number | 1114220902 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114220902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 56055 (California) | Primary |
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