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1851478069
KELLY COPPS WOOD
GLENDALE, WI
NPI
1851478069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: WI 5126-015)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
DR. KELLY COPPS WOOD D.D.S.
7679 N LONGVIEW DR
GLENDALE, WI 53209-1863
Phone number: 262-853-8592
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Mailing Address
DR. KELLY COPPS WOOD D.D.S.
7679 N LONGVIEW DR
GLENDALE, WI 53209-1863
Phone number: 262-853-8592
Copy
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