| NPI | 1881063105 |
|---|---|
| Doing Business As | COVE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRANDON L GRANTHAM Owner 254-547-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22297) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2018-10-25 |