Individual
DR. DARSHANA SUBBARAJU NOVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1950 W CERMAK RD, CHICAGO, IL 60608-4204
(773) 376-2777
Mailing address
1950 W CERMAK RD, CHICAGO, IL 60608-4204
(773) 376-2777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019026738
IL
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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