THEODORE D NOVAK

LOS ANGELES, CA
NPI1073205258
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  024161)
Enumeration Date2023-05-24
Last Update Date2023-05-24
Business Address
THEODORE D NOVAK
714 TIVERTON AVE
LOS ANGELES, CA 90095-8361
Phone number: 310-206-3904
Mailing Address
THEODORE D NOVAK
1148 LANTERN VIEW DR
AUBURN, CA 95603-5832
Phone number: 916-769-2652
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