Individual
DANIELLE D COVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1920 VINDICATOR DR STE 211, COLORADO SPRINGS, CO 80919-3625
(719) 314-2088
Mailing address
177 CLARKSLEY RD, MANITOU SPRINGS, CO 80829-2725
(720) 254-1802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9627
CO
1223G0001X
General Practice Dentistry
Primary
9627
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89936337
—
CO
01
—
9627
DENTAL LICENSE
CO
Enumeration date
11/11/2008
Last updated
02/05/2024
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