# RADIANT SMILES SERIES 1 LLC

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

## Provider details

- **NPI number:** 1841506995
- **Authorized official:** MRS. DRINA RAQUEL BARIN (DIRECTOR)
- **Authorized official phone:** (702) 452-3552

## Contact information

- **Practice address:** 1825 S NELLIS BLVD, LAS VEGAS, NV 89104-6215
- **Practice address phone:** (702) 452-3552
- **Practice address fax:** (702) 452-0088
- **Mailing address:** 1825 S NELLIS BLVD, LAS VEGAS, NV 89104-6215
- **Mailing address phone:** (702) 452-3552
- **Mailing address fax:** (702) 452-0088

## Taxonomy

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

## Other

- **Enumeration date:** 08/27/2010
- **Last updated:** 09/02/2010