Organization
RADIANT DENTAL LLC
Active
Other names
Radiant Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA LIANA ARMES (DIRECTOR OF OPERATIONS)
(818) 577-7367
Entity
Organization
Contact information
Practice address
19251 E OASIS DR, BLACK CANYON CITY, AZ 85324-8878
(623) 526-2607
Mailing address
19251 E OASIS DR, BLACK CANYON CITY, AZ 85324-8878
(623) 526-2607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
01/19/2022
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