Individual
DR. JOHN KOVALIK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
58 MECHANIC STREET, NORTH CONWAY, NH 03860
(603) 356-7997
Mailing address
PO BOX 766, 58 MECHANIC STREET, NORTH CONWAY, NH 03860
(603) 356-7997
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2340
NH
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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