Carla C. Couri, D.m.d., Ltd.

NPI #1457554552 in Peoria, Illinois

Provider Information

NPI Number: 1457554552
Entity Type: Organization
Organization Name: Carla C. Couri, D.m.d., Ltd.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4408 N KNOXVILLE AVE
Address 2: SUITE D
City: Peoria
State: Illinois
ZIP Code: 61614-6084
Phone: (309) 682-5522

Authorized Official

Name: DR. CARLA CATHERINE COURI, D.M.D.
Title: OWNER
Phone: (309) 682-5522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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