Radiant Smiles Series 4 Llc

NPI 1154637890 - Dentist - 1223G0001X

NPI Details
NPI 1154637890
Enumeration Date 08/19/2010
Last Updated 08/19/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RAYMOND FABIAN RAYMOND
Position DIRECTOR
Phone (702) 368-0911
Fax (702) 734-6884
Practice Location
4510 S EASTERN AVE STE 2
LAS VEGAS NV, 89119-6118, US
Phone (702) 368-0911
Fax (702) 734-6884
Business Location
4510 S EASTERN AVE STE 2
LAS VEGAS NV, 89119-6118, US
Phone (702) 368-0911
Fax (702) 734-6884
Toxanomy
Taxonomy Code 1223G0001X
License State Nevada
License Number 4725
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According to our database, Radiant Smiles Series 4 Llc NPI is 1154637890, taxonomy code is 1223G0001X and license number is 4725, license state is located at Nevada. Radiant Smiles Series 4 Llc physically located at 4510 S Eastern Ave Ste 2, Las Vegas NV, 89119-6118. NPI Number 1033115704 has the healthcare provider type.

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1154637890 NPI number is provided on an as is basis without warranty of any kind. 1154637890 is maintained by the National Plan & Provider Enumeration System. The contents of Radiant Smiles Series 4 Llc are for informational purposes only.