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Organization

RADIANCE DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOUNIR ISKANDAR BDS,MSD (DENTIST)
(972) 258-1702
Entity
Organization

Contact information

Practice address
1235 KINWEST PKWY, IRVING, TX 75063-3403
(972) 258-1702
(972) 258-1703
Mailing address
1235 KINWEST PKWY, IRVING, TX 75063-3403
(972) 258-1702
(972) 258-1703

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
23921
TX
1223P0700X
Prosthodontics
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
27805703
TX
Enumeration date
03/18/2011
Last updated
11/23/2022
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