Organization
COVEL,STACK AND HENON, DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME A COVEL DDS (PRESIDENT)
(703) 938-2000
Entity
Organization
Contact information
Practice address
120 BEULAH RD NE, VIENNA, VA 22180-4745
(703) 938-2000
(703) 938-9447
Mailing address
120 BEULAH RD NE, VIENNA, VA 22180-4745
(703) 938-2000
(703) 938-9447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007703
VA
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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