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Organization
RADIANCE DENTAL P.C.
Active
Organization
RADIANCE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELON RUTH MURPHY DMD (CEO)
(914) 309-7922
Entity
Organization
Contact information
Practice address
455 CENTRAL PARK AVE, SUITE 309, SCARSDALE, NY 10583-1060
(914) 309-7922
Mailing address
455 CENTRAL PARK AVE, SUITE 309, SCARSDALE, NY 10583-1060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043027-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01433632
—
NY
01
—
1376533125
NPI TYPE 1
NY
Enumeration date
01/28/2008
Last updated
06/01/2016
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