| Radiant Dental Care, Llc | |
|
4445 W 16th Ave Ste 501 Hialeah FL 33012-4695 | |
| (305) 321-3107 | |
| Not Available |
| Full Name | Radiant Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4445 W 16th Ave Ste 501, Hialeah, Florida |
| Authorized Official Name and Position | Jorge Emilio Vazquez (DENTIST/ OWNER) |
| Authorized Official Contact | 3053213107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Dental Care, Llc 4445 W 16th Ave Ste 200 Hialeah FL 33012-7190 Ph: (305) 321-3107 | Radiant Dental Care, Llc 4445 W 16th Ave Ste 501 Hialeah FL 33012-4695 Ph: (305) 321-3107 |
| NPI Number | 1760209209 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 09/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760209209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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