Randy J Kovicak, Dds, Pllc | |
935 W Norton Ave Ste B Norton Shores MI 49441-4195 | |
(231) 739-1300 | |
Not Available |
Full Name | Randy J Kovicak, Dds, Pllc |
---|---|
Speciality | Dentist |
Location | 935 W Norton Ave Ste B, Norton Shores, Michigan |
Authorized Official Name and Position | Andrew Matta (OWNER) |
Authorized Official Contact | 2317391300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randy J Kovicak, Dds, Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: () - | Randy J Kovicak, Dds, Pllc 935 W Norton Ave Ste B Norton Shores MI 49441-4195 Ph: (231) 739-1300 |
NPI Number | 1528547668 |
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Provider Enumeration Date | 08/09/2018 |
Last Update Date | 08/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528547668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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