Organization
RICHARD R. NOWAKOWSKI, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROY NOWAKOWSKI DDS (OWNER)
(765) 288-2040
Entity
Organization
Contact information
Practice address
3701 N EVERETT RD, MUNCIE, IN 47304-5610
(765) 288-2040
(765) 288-2074
Mailing address
3701 N EVERETT RD, MUNCIE, IN 47304-5610
(765) 288-2040
(765) 288-2074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008600A
IN
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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