Organization
RADIANT SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN RUIZ DDS (OWNER DENTIST)
(702) 432-0199
Entity
Organization
Contact information
Practice address
1825 S NELLIS BLVD, LAS VEGAS, NV 89104-6215
(702) 432-0199
Mailing address
1825 S NELLIS BLVD, LAS VEGAS, NV 89104-6215
(702) 432-0199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6837
NV
Other
Enumeration date
10/14/2016
Last updated
10/14/2016
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