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1629192380
KELLY P COUCH
ELK GROVE, CA
NPI
1629192380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 29029)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
-- KELLY P COUCH DDS
7915 LAGUNA BLVD #110
ELK GROVE, CA 95758-7945
Phone number: 916-683-2300
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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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