Organization
W. MAX COUCH, JR., DDS, MDS, LLC
Active
Organization
W. MAX COUCH, JR., DDS, MDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM MAX COUCH JR. DDS, MDS (PRESIDENT/ ORTHODONTIST)
(770) 833-9150
Entity
Organization
Contact information
Practice address
2714 EAST FIRST STREET, BLUE RIDGE, GA 30513
(770) 833-9150
(706) 946-2672
Mailing address
2714 EAST FIRST STREET, BLUE RIDGE, GA 30513
(770) 833-9150
(706) 946-2672
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011895
GA
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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