Individual
FREDERICK FRANK NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2126 VIRGINIA ST, GRAND PRAIRIE, TX 75051-3764
(972) 264-5795
(972) 264-9874
Mailing address
2126 VIRGINIA ST, GRAND PRAIRIE, TX 75051-3764
(972) 264-5795
(972) 264-9874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9871
IL
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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