Individual
ISAAC COVARRUBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16971 W 94TH ST, LENEXA, KS 66219-1939
(402) 559-4000
Mailing address
14424 W 84TH TER, LENEXA, KS 66215-4175
(402) 201-3484
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
62243
KS
1223G0001X
General Practice Dentistry
7738
NE
Other
Enumeration date
06/24/2021
Last updated
12/12/2024
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