Organization
GD FL COVE PLLC
Active
Other names
Cove Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
406 N COVE BLVD, PANAMA CITY, FL 32401-3726
(850) 769-1710
Mailing address
406 N COVE BLVD, PANAMA CITY, FL 32401-3726
(850) 769-1710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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