Individual
LEON K COVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2131 HUDSON AVE, KALAMAZOO, MI 49008-2302
(269) 344-8988
(269) 344-2565
Mailing address
174 S LAKE DOSTER DR, PLAINWELL, MI 49080-9117
(269) 685-6481
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901008562
MI
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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