Organization
NOVASACK FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE NOVASACK DMD (PRESIDENT)
(609) 927-5454
Entity
Organization
Contact information
Practice address
560 SHORE RD, SOMERS POINT, NJ 08244-2447
(609) 927-5454
(609) 927-6369
Mailing address
560 SHORE RD, SOMERS POINT, NJ 08244-2447
(609) 927-5454
(609) 927-6369
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI00995300
NJ
1223G0001X
General Practice Dentistry
22DI02608500
NJ
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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