Organization
EMERGIDENT PLLC
Active
Other names
Revive Cosmetic Dentistry PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALAIKA S. THOMAS DDS (CEO)
(469) 914-0003
Entity
Organization
Contact information
Practice address
670 W ARAPAHO RD STE 3, RICHARDSON, TX 75080-4213
(469) 914-0003
(800) 304-9440
Mailing address
670 W ARAPAHO RD STE 3, RICHARDSON, TX 75080-4213
(469) 914-0003
(800) 304-9440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
01/05/2024
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