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Organization

COVINGTON DENTAL CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GINA FONFARA COVINGTON DMD (CO-OWNER)
(828) 322-4258
Entity
Organization

Contact information

Practice address
360 9TH AVENUE DR NE, HICKORY, NC 28601-3879
(828) 322-4258
Mailing address
360 9TH AVENUE DR NE, HICKORY, NC 28601-3879
(828) 322-4258

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8829
NC
1223G0001X
General Practice Dentistry
8830
NC

Other

Enumeration date
08/05/2009
Last updated
08/05/2009
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