| NPI | 1578385191 |
|---|---|
| Doing Business As | RADIANT SMILES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RAYNALD LEON DESAMEAU Owner/Member 912-332-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |