KELLY P COUCH

ELK GROVE, CA
NPI1629192380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  29029)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- KELLY P COUCH DDS
7915 LAGUNA BLVD #110
ELK GROVE, CA 95758-7945
Phone number: 916-683-2300
Mailing Address
-- KELLY P COUCH DDS
7915 LAGUNA BLVD SUITE #110
ELK GROVE, CA 95758-7945
Phone number: 916-683-2300
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