Organization
RAD COSMETIC AND IMPLANT DENTISTRY PLLC
Active
Other names
Smile Boutique Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AFSANEH RAD DMD, MSC, MMSC (CEO)
(512) 458-5205
Entity
Organization
Contact information
Practice address
7800 N MOPAC EXPY STE 260, AUSTIN, TX 78759-8961
(512) 458-5205
(512) 458-5206
Mailing address
7800 N MOPAC EXPY STE 260, AUSTIN, TX 78759-8961
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/13/2026
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