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Organization
THRIVE DENTAL AND ORTHODONTICS PLLC
Active
Organization
THRIVE DENTAL AND ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN COUGHLIN DDS (OWNER)
(323) 898-3102
Entity
Organization
Contact information
Practice address
10935 ROLATER RD, #210, FRISCO, TX 75035
(972) 371-0616
Mailing address
5822 VICKERY BLVD, DALLAS, TX 75206-6336
(323) 898-3102
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28587
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
28586
TX
Other
Enumeration date
06/27/2018
Last updated
06/13/2022
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