| Carla C. Couri, D.m.d., Ltd. | |
|
4408 N Knoxville Ave Suite D Peoria IL 61614-6084 | |
| (309) 682-5522 | |
| (309) 682-7698 |
| Full Name | Carla C. Couri, D.m.d., Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4408 N Knoxville Ave, Peoria, Illinois |
| Authorized Official Name and Position | Carla Catherine Couri (OWNER) |
| Authorized Official Contact | 3096825522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carla C. Couri, D.m.d., Ltd. 4408 N Knoxville Ave Suite D Peoria IL 61614-6084 Ph: (309) 682-5522 | Carla C. Couri, D.m.d., Ltd. 4408 N Knoxville Ave Suite D Peoria IL 61614-6084 Ph: (309) 682-5522 |
| NPI Number | 1457554552 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457554552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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