| NPI | 1043840069 |
|---|---|
| Doing Business As | THRIVE DENTAL AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | NATHAN COUGHLIN Owner 323-898-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |