DR. Keith David Nowicki, DDS

NPI #1417917584 in Fraser, Michigan

Provider Information

NPI Number: 1417917584
Entity Type: Individual
Name: DR. Keith David Nowicki, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Mar 24, 2006
Last Updated: Jun 8, 2022

Practice Location

Address: 32545 GARFIELD RD
City: Fraser
State: Michigan
ZIP Code: 48026-3843
Phone: (586) 293-3633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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