Organization
COVINGTON FAMILY DENTISTRY, PLLC
Active
Other names
Covington Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NICK SUNDIAM (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
17224 SE 272ND ST STE C, COVINGTON, WA 98042-4953
(253) 630-4400
(253) 631-2267
Mailing address
17224 SE 272ND ST STE C, COVINGTON, WA 98042-4953
(253) 630-4400
(253) 631-2267
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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