CLARISSA COUCH

BRIDGEVIEW, IL
NPI1447388764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019-022817)
Additional Taxonomies1223D0001X Dentist, Dental Public Health
(Licence: IL  019022817)
Enumeration Date2007-02-28
Last Update Date2021-04-22
Business Address
Dr. CLARISSA COUCH DDS
10220 S 76TH AVE SUITE 250
BRIDGEVIEW, IL 60455-2425
Phone number: 708-974-6160
Mailing Address
Dr. CLARISSA COUCH DDS
2020W HARRISON ST
CHICAGO, IL 60612-3741
Phone number: 312-572-4788