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
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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