Individual
DR. KEVIN D NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1630 MAPLE RD STE 400, WILLIAMSVILLE, NY 14221-3660
(716) 568-2273
Mailing address
630 MAPLE RD, #400, WILLIAMSVILLE, NY 14221
(716) 568-2273
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054418
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2008
Last updated
02/22/2019
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