Individual
DR. DANIEL KOVACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.P.H
Contact information
Practice address
11641 N 23RD ST, PHOENIX, AZ 85028-1705
(480) 250-4461
Mailing address
702 E BELL RD, SUITE 120, PHOENIX, AZ 85022-6639
(602) 867-7700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008345
AZ
Other
Enumeration date
12/21/2011
Last updated
11/12/2015
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