Individual
DR. WILLIAM MAX COUCH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.S.
Contact information
Practice address
203 PIRKLE FERRY RD, CUMMING, GA 30040-2525
(770) 887-3258
(770) 887-0173
Mailing address
203 PIRKLE FERRY ROAD, CUMMING, GA 30040
(770) 887-3258
(770) 887-0173
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11895
GA
Other
Enumeration date
05/28/2009
Last updated
12/21/2011
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