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Individual

LENORA G COVINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
371 WHITNEY RD, SPARTANBURG, SC 29303-3143
(864) 515-0485
(864) 515-0985
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
(719) 583-1801

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN013058
GA
1223P0221X
Pediatric Dentistry
Primary
3896
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
575278650A
GA
05
ZX3896
SC
Enumeration date
05/04/2006
Last updated
02/07/2013
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