Radiant Dental 1

LBN: Radiant Dental 1
Radiant Dental 1 is an health care organization with primary practice located at 7469 W Lake Mead Blvd Suite 270, Las Vegas NV 89128-1030. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Radiant Dental 1 can be contacted via phone (702) 312-8710, or through Gonzalez, David C via phone (702) 610-5458.

Contact Information

Primary practice address
7469 W Lake Mead Blvd Suite 270 Las Vegas NV 89128-1030
Phone: (702) 312-8710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, David C
Phone: (702) 610-5458

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 4480 Nevada

Profile Details

NPI number 1225218951
LBN Legal business name Radiant Dental 1
DBA Doing business as
Authorized official Gonzalez, David C
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2007
Last updated Nov 9th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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