Organization
RADIANT SMILES SERIES 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C GONZALEZ (DIRECTOR)
(702) 360-4800
Entity
Organization
Contact information
Practice address
8961 W SAHARA AVE STE 108, LAS VEGAS, NV 89117-5831
(702) 360-4800
(702) 360-2846
Mailing address
8961 W SAHARA AVE STE 108, LAS VEGAS, NV 89117-5831
(702) 360-4800
(702) 360-2846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4725
NV
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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