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Thomas Mork, D.D.S
NPI 1811040868 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1259 Corporate Center Dr
Oconomowoc, WI 53066 - Phone
- (262) 567-7840
- Fax
- (262) 567-8496
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Endodontics
1223E0200X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Wisconsin