Organization
SEAN M COUCH DDS PS
Active
Other names
Kingston Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN M COUCH D.D.S. (PRESIDENT)
(360) 297-2298
Entity
Organization
Contact information
Practice address
25985 BARBER CUT OFF RD NE, SUITE B2, KINGSTON, WA 98346-9596
(360) 297-2298
(360) 297-8445
Mailing address
25985 BARBER CUT OFF RD NE, SUITE B2, KINGSTON, WA 98346-9596
(360) 297-2298
(360) 297-8445
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009374
WA
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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