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Organization
THRIVE DENTAL FM PLLC
Active
Organization
THRIVE DENTAL FM PLLC
Active
Other names
Thrive Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN COUGHLIN DDS (OWNER)
(972) 248-9119
Entity
Organization
Contact information
Practice address
17977 PRESTON RD STE A, DALLAS, TX 75252-5661
(323) 898-3102
Mailing address
5822 VICKERY BLVD, DALLAS, TX 75206-6336
(310) 429-7436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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