DR. Clarissa Couch, DDS

NPI #1447388764 in Bridgeview, Illinois

Provider Information

NPI Number: 1447388764
Entity Type: Individual
Name: DR. Clarissa Couch, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 28, 2007
Last Updated: Apr 22, 2021

Practice Location

Address: 10220 S 76TH AVE
Address 2: SUITE 250
City: Bridgeview
State: Illinois
ZIP Code: 60455-2425
Phone: (708) 974-6160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Dental Public Health — Dental Public Health	1223D0001X
Dentist	122300000X	Primary

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