Individual
RICHARD COUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2450 LAWRENCEVILLE HIGHWAY, SUITE 100, DECATUR, GA 30033-3269
(404) 329-0000
Mailing address
2543 FLAIR KNOLL CT NE, ATLANTA, GA 30345-1311
(539) 895-1244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
28298
CA
1223G0001X
General Practice Dentistry
Primary
DN015248
GA
Other
Enumeration date
07/28/2005
Last updated
06/03/2022
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