Organization
COVENANT FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERMELLE LONNISHA BROWN-GHOSTON DDS (OWNER)
(785) 250-6939
Entity
Organization
Contact information
Practice address
611 E IRON AVE, SALINA, KS 67401-3035
(785) 404-6333
Mailing address
4428 SW WANAMAKER RD, TOPEKA, KS 66610-1340
(785) 250-6939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200383300A
—
KS
Enumeration date
05/29/2013
Last updated
05/29/2013
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