| NPI | 1215640933 |
|---|---|
| Doing Business As | COVEL, STACK AND HENON,DDS,P.C. |
| Entity Type | Organization |
| Authorized Contact | HILLARY THULL Credentialing Coordinator 217-540-8946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |