| NPI | 1922556414 |
|---|---|
| Doing Business As | COVENANT DENTAL |
| Entity Type | Organization |
| Authorized Contact | ERICA A. MILLS Owner/Operator 646-842-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 1265674626) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |