| NPI | 1326248261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL COVANEY Prosthodontist 757-596-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401410214) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401008846) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |