| NPI | 1649518069 |
|---|---|
| Other Name | RADIANCE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | SHEILA CHANDRAHASA Managing Member 941-484-8740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 126800000X Dental Assistant |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2019-06-25 |