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Organization
SMILETASTIC DENTAL AND ORTHODONTICS
Active
Organization
SMILETASTIC DENTAL AND ORTHODONTICS
Active
Other names
Brightersmiles Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOHN MALOUF DDS (OWNER)
(817) 785-3290
Entity
Organization
Contact information
Practice address
2200 AIRPORT FWY, STE 480, BEDFORD, TX 76022-6062
(817) 785-3290
(682) 292-1554
Mailing address
2200 AIRPORT FWY, STE 480, BEDFORD, TX 76022-6062
(817) 785-3290
(682) 292-1554
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16206
TX
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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