Individual
ROBERT NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
836 RIDGE RD, WETHERSFIELD, CT 06109-2852
(860) 695-5056
Mailing address
836 RIDGE RD, WETHERSFIELD, CT 06109-2852
(860) 695-5056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
005101
CT
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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