Organization
NEIL R. COVIN, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL RONALD COVIN D.D.S., M.S. (OWNER)
(952) 920-9209
Entity
Organization
Contact information
Practice address
3401 WOODDALE AVE S, ST LOUIS PARK, MN 55416-2340
(952) 920-9209
(952) 920-0418
Mailing address
3401 WOODDALE AVE S, ST LOUIS PARK, MN 55416-2340
(952) 920-9209
(952) 920-0418
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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