Organization
RADIANT SMILE DENTISTRY PLLC
Active
Other names
Radiant Smiles Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRABHSHARAN SANDHU D.D.S. (OWNER/DENTIST)
(602) 277-2222
Entity
Organization
Contact information
Practice address
380 E VIRGINIA AVE, PHOENIX, AZ 85004-1208
(602) 277-2222
(602) 279-3742
Mailing address
380 E VIRGINIA AVE, PHOENIX, AZ 85004-1208
(602) 277-2222
(602) 279-3742
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7349
AZ
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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