Covenant Family Dental LLC
NPI #1619643202 in Greencastle, Pennsylvania
Provider Information
- NPI Number
- 1619643202
- Entity Type
- Organization
- Organization Name
- Covenant Family Dental LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 23, 2021
- Last Updated
- Sep 27, 2021
Practice Location
- Address
- 50 EASTERN AVE STE 108
- City
- Greencastle
- State
- Pennsylvania
- ZIP Code
- 17225-1100
- Phone
- (717) 762-1515
Authorized Official
- Name
- ANVARALI MOHAMMADH, DMD
- Title
- OWNER
- Phone
- (717) 762-1515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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