| NPI | 1235301730 |
|---|---|
| Doing Business As | COVINA DENTAL |
| Entity Type | Organization |
| Authorized Contact | BERNADETTE LUYUN GUARING-BAGAY Owner/President 626-859-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 44482) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |