| Radiance Dental Group | |
|
1818 Mountain View Ave Longmont CO 80501-3253 | |
| (303) 651-3733 | |
| Not Available |
| Full Name | Radiance Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1818 Mountain View Ave, Longmont, Colorado |
| Authorized Official Name and Position | Richard Abrams (DDS/OWNER) |
| Authorized Official Contact | 3036513733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiance Dental Group 1818 Mountain View Ave Longmont CO 80501-3253 Ph: (303) 651-3733 | Radiance Dental Group 1818 Mountain View Ave Longmont CO 80501-3253 Ph: (303) 651-3733 |
| NPI Number | 1326307521 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 05/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326307521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6509 (Colorado) | Primary |
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