NPI 1225218951

Radiant Dental 1

Organisation Preferred Provider Organization Las Vegas, NV

Practice location

Address: 7469 W Lake Mead Blvd Suite 270, Las Vegas, NV 89128-1030
Phone: (702) 312-8710

Authorised official

Name: David C Gonzalez
Title: Owner
Phone: (702) 610-5458

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 4480 (NV)

Other Preferred Provider Organization providers in Nevada →

Registry record

NPI: 1225218951
Entity type: Organization
NPI issued: 9 Nov 2007
Record last updated: 9 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.