SearchMinnesotaDental Therapist

Jacob Dvorak, DT

NPI 1174968028 · on the registry since 2013

Practice

Address
309 Holly Ln
Mankato, MN 56001
Phone
(507) 388-2120
Organisation at this address
Genoa Healthcare Llc
Open Door Health Center
Open Door Health Center
Open Door Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
Dental Therapist
125J00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota