Richard F. Koup D.m.d. & Associates Llc | |
325 Central Ave Suite 101 Malvern PA 19355-3219 | |
(610) 644-0408 | |
(610) 647-1024 |
Full Name | Richard F. Koup D.m.d. & Associates Llc |
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Speciality | Dentist - General Practice |
Location | 325 Central Ave, Malvern, Pennsylvania |
Authorized Official Name and Position | Richard F. Koup (PRINCIPAL) |
Authorized Official Contact | 6106440408 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard F. Koup D.m.d. & Associates Llc 325 Central Ave Suite 101 Malvern PA 19355-3219 Ph: (610) 644-0408 | Richard F. Koup D.m.d. & Associates Llc 325 Central Ave Suite 101 Malvern PA 19355-3219 Ph: (610) 644-0408 |
NPI Number | 1598890667 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598890667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS018758L (Pennsylvania) | Primary |
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