Individual
DR. DAVID STANFORD NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
616 W CENTRE AVE, PORTAGE, MI 49024
(269) 329-2004
(269) 329-7554
Mailing address
616 W CENTRE AVE, PORTAGE, MI 49024
(269) 329-2004
(269) 329-7554
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017734
MI
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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