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Organization
THRIVING SMILES LLC
Active
Organization
THRIVING SMILES LLC
Active
Other names
Thriving Smiles Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE BOUKAS DMD (DOCTOR)
(216) 815-1413
Entity
Organization
Contact information
Practice address
34155 CENTER RIDGE RD, NORTH RIDGEVILLE, OH 44039-3221
(216) 815-1413
Mailing address
4526 GLEN EAGLE DR, BRECKSVILLE, OH 44141-2934
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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