| NPI | 1396432480 |
|---|---|
| Doing Business As | RADIANT SMILES FAMILY DENTISTRY |
| Doing Business As | RADIANT SMILES FAMILY AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SHANNON LUGERO Practice Manager 704-540-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-06-15 |