Individual
ELIZABETH MCCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7219 N LITCHFIELD RD, LUKE AFB, AZ 85309-1529
(623) 856-9046
Mailing address
12805 ROYAL ASCOT DR, FORT WORTH, TX 76244-7276
(623) 521-1272
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27363
TX
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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