Full Name | Mork Dental, Sc |
---|---|
Speciality | Dentist - General Practice |
Location | 241 N. Main St., Cochrane, Wisconsin |
Authorized Official Name and Position | Desiree M Mork (OWNER) |
Authorized Official Contact | 6086873571 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mork Dental, Sc Po Box 367 Fountain City WI 54629-0367 Ph: (608) 687-3571 | Mork Dental, Sc 241 N. Main St. Cochrane WI 54622 Ph: (608) 248-2442 |
NPI Number | 1124343025 |
---|---|
Provider Enumeration Date | 04/02/2010 |
Last Update Date | 04/02/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124343025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5882015 (Wisconsin) | Primary |
1223G0001X | Dentist - General Practice | 6284015 (Wisconsin) | Secondary |
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› Verified 3 days ago
Roland W Pardun Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 241 N Main St, Cochrane, WI 54622 Phone: 608-248-2442 Fax: 608-248-3132 |