| NPI | 1023271608 |
|---|---|
| Doing Business As | COVER FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TYSON PECHEK Dentist 719-566-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 9163) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |