NPI | 1790103141 |
---|---|
Doing Business As | COVINGTON COSMETIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | STEPHEN WESLEY DEAN Dentist 770-786-3915 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 10886) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2014-04-02 |