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1750023743
ALYSSA GIANELLA COULTER
SAN MATEO, CA
NPI
1750023743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 109406)
Enumeration Date
2022-04-10
Last Update Date
2024-11-21
Business Address
ALYSSA GIANELLA COULTER
1528 S EL CAMINO REAL STE 408
SAN MATEO, CA 94402-3067
Phone number: 650-212-3500
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Mailing Address
ALYSSA GIANELLA COULTER
352 PINE ST
MILLBRAE, CA 94030-2019
Phone number: 650-274-3328
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