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Organization
RADIANT SMILES SERIES 1 LLC
Active
Organization
RADIANT SMILES SERIES 1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DRINA RAQUEL BARIN (DIRECTOR)
(702) 452-3552
Entity
Organization
Contact information
Practice address
1825 S NELLIS BLVD, LAS VEGAS, NV 89104-6215
(702) 452-3552
(702) 452-0088
Mailing address
1825 S NELLIS BLVD, LAS VEGAS, NV 89104-6215
(702) 452-3552
(702) 452-0088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4725
NV
Other
Enumeration date
08/27/2010
Last updated
09/02/2010
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