| NPI | 1124836986 |
|---|---|
| Doing Business As | COVENANT DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARK MEHANY Managing Member 817-204-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2025-05-14 |