Organization
RADIANT SMILES SERIES 3 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND FABIAN CORDERO (DIRECTOR)
(562) 480-6011
Entity
Organization
Contact information
Practice address
2633 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4833
(702) 897-7001
(702) 897-7201
Mailing address
2633 W HORIZON RIDGE PKWY STE 130, HENDERSON, NV 89052-4833
(702) 897-7001
(702) 897-7201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4725
NV
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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