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Individual
DR. PAUL ANTHONY COVELLO
Active
Individual
DR. PAUL ANTHONY COVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS042106
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
304432
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/02/2013
Last updated
08/27/2020
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