# COVENANT FAMILY DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greencastle Family Dental, Grencastle Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619643202
- **Authorized official:** ANVARALI MOHAMMADH DMD (OWNER)
- **Authorized official phone:** (717) 762-1515

## Contact information

- **Practice address:** 50 EASTERN AVE STE 108, GREENCASTLE, PA 17225-1100
- **Practice address phone:** (717) 762-1515
- **Mailing address:** 750 S POTOMAC ST, WAYNESBORO, PA 17268-2198
- **Mailing address phone:** (717) 762-1515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/23/2021
- **Last updated:** 09/27/2021