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Organization
R. TERRY COUNCILL, DDS, PA
Active
Organization
R. TERRY COUNCILL, DDS, PA
Active
Other names
R. Terry Councill, DDS, PA
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DESPORTE (BUSINESS MANAGER)
(281) 376-9246
Entity
Organization
Contact information
Practice address
12835 LOUETTA RD, CYPRESS, TX 77429-5207
(281) 376-9246
(281) 370-8398
Mailing address
10924 GRANT RD STE 310, HOUSTON, TX 77070-4445
(281) 376-9246
(281) 370-8398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13448
TX
122300000X
Dentist
28492
TX
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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