| NPI | 1477767333 |
|---|---|
| Other Name | COVINGTON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | OTTO J HANSSEN Dentist Owner 253-630-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 5262) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |