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1013929629
PETER M COUPERUS
SACRAMENTO, CA
NPI
1013929629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 20618)
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
-- PETER M COUPERUS DDS
2856 ARDEN WAY SUITE 100
SACRAMENTO, CA 95825-1374
Phone number: 916-481-7617
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Mailing Address
-- PETER M COUPERUS DDS
2856 ARDEN WAY SUITE 100
SACRAMENTO, CA 95825-1374
Phone number: 916-481-7617
Copy
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