| NPI | 1689191454 |
|---|---|
| Doing Business As | R. TERRY COUNCILL, DDS, PA |
| Entity Type | Organization |
| Authorized Contact | SUSAN DESPORTE Business Manager 281-376-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 13448) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 28492) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |