# RADIANCE SMILE SOLUTIONS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Radiance Artistic Dentistry & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043816093
- **Authorized official:** DR. RADIP UPRETY DDS (DENTIST/ OWNER)
- **Authorized official phone:** (612) 226-0695

## Contact information

- **Practice address:** 350 BROADWAY ST STE 140, BOULDER, CO 80305-3306
- **Practice address phone:** (303) 447-2281
- **Mailing address:** 355 ELDORADO BLVD UNIT 341, BROOMFIELD, CO 80021-3689
- **Mailing address phone:** (612) 226-0695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/07/2020
- **Last updated:** 12/07/2020