Organization
RADIANT EXPRESS LLC
Active
Other names
Fantastic Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN CHIOU (PRESIDENT)
(908) 251-0885
Entity
Organization
Contact information
Practice address
862 INMAN AVE, EDISON, NJ 08820-1233
(908) 251-0885
Mailing address
862 INMAN AVE, EDISON, NJ 08820-1233
(908) 251-0885
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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