| Couch Dental Corp. | |
|
216 Lombard St Thousand Oaks CA 91360-5806 | |
| (805) 497-8077 | |
| (805) 496-4844 |
| Full Name | Couch Dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 216 Lombard St, Thousand Oaks, California |
| Authorized Official Name and Position | Curtis R. Couch (OWNER) |
| Authorized Official Contact | 8054978077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Couch Dental Corp. 216 Lombard St Thousand Oaks CA 91360-5806 Ph: (805) 497-8077 | Couch Dental Corp. 216 Lombard St Thousand Oaks CA 91360-5806 Ph: (805) 497-8077 |
| NPI Number | 1104162494 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 12/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104162494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41909 (California) | Primary |
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