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Individual

CORY LEE COUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3411 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4425
(850) 895-3411
Mailing address
3411 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308-4425
(850) 895-3411
(448) 231-2556

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16145
FL

Other

Enumeration date
12/06/2007
Last updated
07/01/2024
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