| NPI | 1649533191 |
|---|---|
| Doing Business As | RADIANT SMILES MID CITIES |
| Entity Type | Organization |
| Authorized Contact | JARED BRUGGEMAN Owner/Doctor 817-328-6150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |