| NPI | 1750703468 |
|---|---|
| Doing Business As | RADIANCE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATHY ZAKHARYUK Manager 360-369-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-02-05 |