Organization
THRIVE DENTAL SACHSE 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
7900 WOODBRIDGE PKWY, #200, SACHSE, TX 75048
(323) 898-3102
Mailing address
5822 VICKERY BLVD, DALLAS, TX 75206-6336
(323) 898-3102
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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