| Radiant Dental Llc | |
|
19251 E Oasis Dr Black Canyon City AZ 85324-8878 | |
| (623) 526-2607 | |
| Not Available |
| Full Name | Radiant Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19251 E Oasis Dr, Black Canyon City, Arizona |
| Authorized Official Name and Position | Brenda Liana Armes (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8185777367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Dental Llc 19251 E Oasis Dr Black Canyon City AZ 85324-8878 Ph: (623) 526-2607 | Radiant Dental Llc 19251 E Oasis Dr Black Canyon City AZ 85324-8878 Ph: (623) 526-2607 |
| NPI Number | 1720748049 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720748049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Canyon Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19251 E Oasis Dr, Black Canyon City, AZ 85324 Phone: 162-344-4232 | |
Black Canyon City Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34501 S Old Black Canyon City Highway, Suite 5, Black Canyon City, AZ 85324 Phone: 623-374-0855 Fax: 623-374-0854 |