Individual
HEIDI NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1303 PACKARD ST STE 101, ANN ARBOR, MI 48104-3874
(734) 761-3116
Mailing address
1303 PACKARD ST STE 101, ANN ARBOR, MI 48104-3874
(734) 761-3116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021227
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901021227
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
30.027109
OH
Other
Enumeration date
06/18/2014
Last updated
05/03/2023
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