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Search › California › 1223G0001X

Krystle Fenton

NPI 1447448089 · on the registry since 2007

Practice

Address
7915 Laguna Blvd
Suite 150
Elk Grove, CA 95758
Phone
(909) 648-9876
Organisation at this address
Kelly P Couch Dds Inc
Tooth Fairies Of California
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California