| Covington Family Dental Clinic | |
|
17121 Se 270th Pl Ste 202 Covington WA 98042-5431 | |
| (253) 630-5500 | |
| Not Available |
| Full Name | Covington Family Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 17121 Se 270th Pl Ste 202, Covington, Washington |
| Authorized Official Name and Position | Klye S Blair (DOCTOR) |
| Authorized Official Contact | 2536305500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Covington Family Dental Clinic 17121 Se 270th Pl Ste 202 Covington WA 98042-5431 Ph: (253) 630-5500 | Covington Family Dental Clinic 17121 Se 270th Pl Ste 202 Covington WA 98042-5431 Ph: (253) 630-5500 |
| NPI Number | 1346693892 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346693892 | NPI | - | NPPES |
| 1245546068 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60170682 (Washington) | Primary |
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