# RAD COSMETIC AND IMPLANT DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Boutique Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083532535
- **Authorized official:** DR. AFSANEH RAD DMD, MSC, MMSC (CEO)
- **Authorized official phone:** (512) 458-5205

## Contact information

- **Practice address:** 7800 N MOPAC EXPY STE 260, AUSTIN, TX 78759-8961
- **Practice address phone:** (512) 458-5205
- **Practice address fax:** (512) 458-5206
- **Mailing address:** 7800 N MOPAC EXPY STE 260, AUSTIN, TX 78759-8961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | NULL | Yes |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2026
- **Last updated:** 07/13/2026