| Radiant Smiles Series 5 Llc | |
|
7469 W Lake Mead Blvd Ste 270 Las Vegas NV 89128-1030 | |
| (702) 312-8722 | |
| (702) 312-7779 |
| Full Name | Radiant Smiles Series 5 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7469 W Lake Mead Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | David C Gonzalez (DIRECTOR) |
| Authorized Official Contact | 7023128722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Smiles Series 5 Llc 7469 W Lake Mead Blvd Ste 270 Las Vegas NV 89128-1030 Ph: (702) 312-8722 | Radiant Smiles Series 5 Llc 7469 W Lake Mead Blvd Ste 270 Las Vegas NV 89128-1030 Ph: (702) 312-8722 |
| NPI Number | 1568778645 |
|---|---|
| Provider Enumeration Date | 08/26/2010 |
| Last Update Date | 08/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568778645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4725 (Nevada) | Primary |
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