Organization
RADIANT SMILES DENTAL
Active
Organization
RADIANT SMILES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKUDO L EKWEM (OWNER)
(281) 530-2676
Entity
Organization
Contact information
Practice address
10701 W BELLFORT ST, SUITE 194, HOUSTON, TX 77099-4748
(281) 530-2676
Mailing address
10701 W BELLFORT ST, SUITE 194, HOUSTON, TX 77099-4748
(281) 530-2676
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
25737
TX
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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