| Covington Family Dentistry | |
|
17224 Se 272nd Street Covington WA 98042 | |
| (253) 630-4400 | |
| (253) 631-2267 |
| Full Name | Covington Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17224 Se 272nd Street, Covington, Washington |
| Authorized Official Name and Position | Otto J Hanssen (DENTIST OWNER) |
| Authorized Official Contact | 2536304400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Family Dentistry 17224 Se 272nd Street Covington WA 98042 Ph: (253) 630-4400 | Covington Family Dentistry 17224 Se 272nd Street Covington WA 98042 Ph: (253) 630-4400 |
| NPI Number | 1477767333 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477767333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5262 (* (Not Available)) | Primary |
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