Organization · Type 2 NPI
Radiant Smiles Dental of Chamblee LLC
Dental Clinic/Center · Chamblee, GA
NPI number
1255843520
Active
Practice location
4306 N Peachtree Road
Chamblee, GA 30314
Mailing address
4306 N Peachtree Rd
Chamblee, GA 30341-1210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1255843520
Radiant Smiles Dental of Chamblee LLC's National Provider Identifier is 1255843520, issued on Oct 26, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chamblee, GA. The record was last updated on Oct 26, 2017.