| NPI | 1316491772 |
|---|---|
| Doing Business As | RADIANT SMILES PHOENIX |
| Entity Type | Organization |
| Authorized Contact | PRABHSHARAN SANDHU Owner/Dentist 602-277-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 7349) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |