# RADIANT SMILES SERIES 4 LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154637890
- **Authorized official:** RAYMOND FABIAN CORDERO (DIRECTOR)
- **Authorized official phone:** (702) 368-0911

## Contact information

- **Practice address:** 4510 S EASTERN AVE STE 2, LAS VEGAS, NV 89119-6118
- **Practice address phone:** (702) 368-0911
- **Practice address fax:** (702) 734-6884
- **Mailing address:** 4510 S EASTERN AVE STE 2, LAS VEGAS, NV 89119-6118
- **Mailing address phone:** (702) 368-0911
- **Mailing address fax:** (702) 734-6884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4725 | NV | Yes |

## Other

- **Enumeration date:** 08/19/2010
- **Last updated:** 08/19/2010