Organization
COVARRUBIAS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE COVARRUBIAS (OWNER)
(308) 384-7500
Entity
Organization
Contact information
Practice address
206 WILMAR AVE STE 4, GRAND ISLAND, NE 68803-3559
(308) 384-7500
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-7088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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