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Organization
RADIANT DENTAL LLC
Active
Organization
RADIANT DENTAL LLC
Active
Other names
Radiant Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LIANA ARMES (DIRECTOR OF OPERATIONS)
(818) 577-7367
Entity
Organization
Contact information
Practice address
19251 E OASIS DR, BLACK CANYON CITY, AZ 85324-8878
(623) 526-2607
Mailing address
19251 E OASIS DR, BLACK CANYON CITY, AZ 85324-8878
(623) 526-2607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
01/19/2022
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