| NPI | 1932566213 |
|---|---|
| Doing Business As | PINE COVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LEVY T DO President 405-633-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28984) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2018-01-23 |