# RADIANT SMILES SERIES 3 LLC

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

## Provider details

- **NPI number:** 1548575996
- **Authorized official:** RAYMOND FABIAN CORDERO (DIRECTOR)
- **Authorized official phone:** (562) 480-6011

## Contact information

- **Practice address:** 2633 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4833
- **Practice address phone:** (702) 897-7001
- **Practice address fax:** (702) 897-7201
- **Mailing address:** 2633 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4833
- **Mailing address phone:** (702) 897-7001
- **Mailing address fax:** (702) 897-7201

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2010
- **Last updated:** 08/10/2010