Individual
DR. GREGORY ALLEN KOUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
752 BROOKSHIRE DR, SUITE D., HERMITAGE, PA 16148-4510
(724) 981-5460
(724) 981-3297
Mailing address
752 BROOKSHIRE DR, SUITE D. P.O. BOX 1388, HERMITAGE, PA 16148-4510
(724) 981-5460
(724) 981-3297
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-027044-L
PA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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