| Radiant Smiles Series 4 Llc | |
|
4510 S Eastern Ave Ste 2 Las Vegas NV 89119-6118 | |
| (702) 368-0911 | |
| (702) 734-6884 |
| Full Name | Radiant Smiles Series 4 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4510 S Eastern Ave Ste 2, Las Vegas, Nevada |
| Authorized Official Name and Position | Raymond Fabian Cordero (DIRECTOR) |
| Authorized Official Contact | 7023680911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Smiles Series 4 Llc 4510 S Eastern Ave Ste 2 Las Vegas NV 89119-6118 Ph: (702) 368-0911 | Radiant Smiles Series 4 Llc 4510 S Eastern Ave Ste 2 Las Vegas NV 89119-6118 Ph: (702) 368-0911 |
| NPI Number | 1154637890 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 08/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154637890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4725 (Nevada) | Primary |
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Absolute Dental- Southern Highlands Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10660 Southern Highlands Pkwy, Suite 100, Las Vegas, NV 89141 Phone: 702-472-7290 Fax: 702-366-1483 | |
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