Organization
GROUP PLATINE PROFESSIONAL LLC
Active
Other names
Radiance Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ABRAMS (DDS/OWNER)
(303) 651-3733
Entity
Organization
Contact information
Practice address
1818 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3253
(303) 651-3733
Mailing address
1818 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3253
(303) 651-3733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6509
CO
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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