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General NPI Number Information
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NPI Number | 1447047014
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Entity Type | Organization
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Legal Business Name | RADIANT SMILES SERIES 8 LLC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 5095 BLUE DIAMOND RD STE 105
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City | LAS VEGAS
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State | NV
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Zip | 89139-7693
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Country | US
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Telephone | 702-970-0512
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Fax |
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Provider Business Mailing Address
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Address Line | 1680 TANGIERS DR
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City | HENDERSON
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State | NV
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Zip | 89012-7236
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Country | US
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Telephone | 702-970-0512
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ADRIAN RUIZ
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Credential |
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Telephone | 702-970-0512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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