Individual
DR. RICHARD FREDERICK KOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
325 CENTRAL AVE, SUITE 101, MALVERN, PA 19355-3219
(610) 644-0408
(610) 647-1024
Mailing address
325 CENTRAL AVE, SUITE 101, MALVERN, PA 19355-3219
(610) 644-0408
(610) 647-1024
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018758L
PA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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