Individual
BRIAN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16316 WHITTIER BLVD, SUITE D, WHITTIER, CA 90603-2911
(562) 947-7811
(562) 947-4442
Mailing address
16316 WHITTIER BLVD, SUITE D, WHITTIER, CA 90603-2911
(562) 947-7811
(562) 947-4442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35207
DENTAL
CA
Enumeration date
10/12/2006
Last updated
07/08/2007
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