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Individual

DR. BRYAN L. COUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
220 S DENTON TAP RD, SUITE 103, COPPELL, TX 75019-5038
(972) 393-0708
(972) 393-9928
Mailing address
220 S DENTON TAP RD, SUITE 103, COPPELL, TX 75019-5038
(972) 393-0708
(972) 393-9928

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14615
TX

Other

Enumeration date
04/11/2007
Last updated
07/08/2007
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