Individual
DR. LAWRENCE EDWARD KOUSSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2102 N COUNTRY CLUB RD STE C, TUCSON, AZ 85716-2831
(520) 327-6269
(520) 327-6632
Mailing address
2102 N COUNTRY CLUB RD STE C, TUCSON, AZ 85716-2831
(520) 327-6269
(520) 327-6632
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3782
AZ
Other
Enumeration date
07/31/2006
Last updated
08/29/2007
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