| NPI | 1275989196 |
|---|---|
| Doing Business As | PHD COVINGTON LLC |
| Entity Type | Organization |
| Authorized Contact | SHRADHA BANSAL Owner 425-891-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA 8920) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |