Individual
MARK NOVASACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
560 SHORE RD, SOMERS POINT, NJ 08244-2447
(609) 927-5454
(609) 927-6369
Mailing address
560 SHORE RD, SOMERS POINT, NJ 08244-2447
(609) 927-5454
(609) 927-6369
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02608500
NJ
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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