Radiant Family Dental Pllc

NPI #1740779594 in Southlake, Texas

Provider Information

NPI Number: 1740779594
Entity Type: Organization
Organization Name: Radiant Family Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 8, 2018
Last Updated: May 8, 2018

Practice Location

Address: 2012 SOUTHLAKE GLEN DR.
City: Southlake
State: Texas
ZIP Code: 76092
Phone: (504) 237-3558

Authorized Official

Name: DR. OMAR YOUSUF, DDS
Title: PRESIDENT
Phone: (504) 237-3558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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