R. Terry Councill, Dds, PA

NPI #1689191454 in Cypress, Texas

Provider Information

NPI Number: 1689191454
Entity Type: Organization
Organization Name: R. Terry Councill, Dds, PA
Primary Specialty: Dentist
Enumeration Date: Aug 23, 2017
Last Updated: Aug 23, 2017

Practice Location

Address: 12835 LOUETTA RD
City: Cypress
State: Texas
ZIP Code: 77429-5207
Phone: (281) 376-9246

Authorized Official

Name: SUSAN DESPORTE
Title: BUSINESS MANAGER
Phone: (281) 376-9246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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