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Individual

DR. RICHARD NOVICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2260 TRAWOOD DR, EL PASO, TX 79935-3040
(915) 591-6676
Mailing address
51 SUN POINT LN, EL PASO, TX 79912-4262
(915) 472-1115

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10436
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S3-62C
STATE BOARD OF DENTAL EXAMINERS
NV
Enumeration date
06/01/2005
Last updated
03/17/2014
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