| Radiant Smiles Series 2 Llc | |
|
8961 W Sahara Ave Ste 108 Las Vegas NV 89117-5831 | |
| (702) 360-4800 | |
| (702) 360-2846 |
| Full Name | Radiant Smiles Series 2 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8961 W Sahara Ave Ste 108, Las Vegas, Nevada |
| Authorized Official Name and Position | David C Gonzalez (DIRECTOR) |
| Authorized Official Contact | 7023604800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Smiles Series 2 Llc 8961 W Sahara Ave Ste 108 Las Vegas NV 89117-5831 Ph: (702) 360-4800 | Radiant Smiles Series 2 Llc 8961 W Sahara Ave Ste 108 Las Vegas NV 89117-5831 Ph: (702) 360-4800 |
| NPI Number | 1104132281 |
|---|---|
| Provider Enumeration Date | 08/26/2010 |
| Last Update Date | 08/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104132281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4725 (Nevada) | Primary |
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