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Contact Information

RADIANT DENTAL 1
7469 W LAKE MEAD BLVD
SUITE 270
LAS VEGAS, NV89128-1030
 Phone: 702-312-8710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for RADIANT DENTAL 1

NPI # 1225218951
LBN Legal business name RADIANT DENTAL 1
Authorized official DAVID GONZALEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2007
Last updated 11/09/2007 - About 19 years ago
Identifiers
NV License # 4480
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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