Organization
EVAN NOVICK DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN NOVICK DMD (PRESIDENT)
(781) 248-3493
Entity
Organization
Contact information
Practice address
3535 RANDOLPH RD STE 101, CHARLOTTE, NC 28211-1067
(704) 366-3452
Mailing address
1619 EMORY OAK DR, CHARLOTTE, NC 28270-9813
(781) 248-3493
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10443
NC
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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