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Organization
COVENANT FAMILY DENTAL LLC
Active
Organization
COVENANT FAMILY DENTAL LLC
Active
Other names
Greencastle Family Dental, Grencastle Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANVARALI MOHAMMADH DMD (OWNER)
(717) 762-1515
Entity
Organization
Contact information
Practice address
50 EASTERN AVE STE 108, GREENCASTLE, PA 17225-1100
(717) 762-1515
Mailing address
750 S POTOMAC ST, WAYNESBORO, PA 17268-2198
(717) 762-1515
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/23/2021
Last updated
09/27/2021
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