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1073205258
THEODORE D NOVAK
PALESTINE, TX
NPI
1073205258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 41113)
Additional Taxonomies
122300000X Dentist
(Licence: CA 110457)
Enumeration Date
2023-05-24
Last Update Date
2024-11-14
Business Address
THEODORE D NOVAK DDS
419 OLD ELKHART RD STE 110
PALESTINE, TX 75801-6047
Phone number: 903-723-4669
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Mailing Address
THEODORE D NOVAK DDS
5800 N INTERSTATE 35 STE 205
DENTON, TX 76207-1438
Phone number: 940-220-7833
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