NPI | 1851567499 |
---|---|
Doing Business As | COVE PEDIATRIC DENTISTRY & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | KENNETH SEELY HAVARD Partner/Dentist 512-818-0232 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 23759) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 22754) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 16755) | |
Enumeration Date | 2008-05-04 |
Last Update Date | 2023-12-21 |