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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