Organization
KOVECK FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN MICHAEL KOVECK DDS (GENERAL DENTIST)
(219) 929-8160
Entity
Organization
Contact information
Practice address
534 N HALLECK ST, DEMOTTE, IN 46310-9553
(219) 987-5733
Mailing address
2506 PENNINGTON PL, VALPARAISO, IN 46383-9161
(219) 929-8160
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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