| Covenant Family Dental Care | |
|
611 E Iron Ave Salina KS 67401-3035 | |
| (785) 404-6333 | |
| Not Available |
| Full Name | Covenant Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 611 E Iron Ave, Salina, Kansas |
| Authorized Official Name and Position | Vermelle Lonnisha Brown-ghoston (OWNER) |
| Authorized Official Contact | 7852506939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covenant Family Dental Care 4428 Sw Wanamaker Rd Topeka KS 66610-1340 Ph: (785) 250-6939 | Covenant Family Dental Care 611 E Iron Ave Salina KS 67401-3035 Ph: (785) 404-6333 |
| NPI Number | 1053758284 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053758284 | NPI | - | NPPES |
| 200383300A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Kansas) | Primary |
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