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1417486754
JONATHAN BLAINE COVINGTON
LITTLE ROCK, AR
NPI
1417486754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AR 4186)
Enumeration Date
2017-06-09
Last Update Date
2017-06-09
Business Address
Dr. JONATHAN BLAINE COVINGTON DDS
820 N UNIVERSITY AVE
LITTLE ROCK, AR 72205-2920
Phone number: 501-664-1733
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Mailing Address
Dr. JONATHAN BLAINE COVINGTON DDS
20920 PRESLEY DR
ROLAND, AR 72135-9236
Phone number: 501-743-6095
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