Organization
NOVA DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PALAK KOTHARI DMD (OWNER DENTIST)
(973) 626-5038
Entity
Organization
Contact information
Practice address
6803 SHERIDAN RD, KENOSHA, WI 53143-1321
(973) 626-5038
Mailing address
6803 SHERIDAN RD, KENOSHA, WI 53143-1321
(973) 626-5038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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