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Organization
RADIANCE ENDODONTICS LLC
Active
Organization
RADIANCE ENDODONTICS LLC
Active
Other names
Radiance Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA CHANDRAHASA DMD (MANAGING MEMBER)
(941) 484-8740
Entity
Organization
Contact information
Practice address
730 THE RIALTO, VENICE, FL 34285-3524
(941) 484-8740
Mailing address
730 THE RIALTO, VENICE, FL 34285-3524
(941) 484-8740
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
01/18/2013
Last updated
06/25/2019
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