Individual
DR. TED R LOVCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2971 CHAPEL VALLEY RD, FITCHBURG, WI 53711-7420
(608) 661-6400
Mailing address
25 GREENSIDE CIR, VERONA, WI 53593-7808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4251-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33726100
—
WI
Enumeration date
05/20/2006
Last updated
07/09/2007
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