Nathan Mork

NPI 1093882219 - Dentist - 122300000X

NPI Details
NPI 1093882219
Gender Male
Enumeration Date 11/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
401 BUSTER RD
TOPPENISH WA, 98948-9792, US
Phone (509) 865-2102
Fax
Business Location
401 BUSTER RD
TOPPENISH WA, 98948-9792, US
Phone (509) 865-2102
Fax
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number D12125
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According to our database, Nathan Mork NPI is 1093882219, taxonomy code is 122300000X and license number is D12125, license state is located at Michigan. Nathan Mork physically located at 401 Buster Rd, Toppenish WA, 98948-9792. NPI Number Nathan Mork has the Individual type.

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1093882219 NPI number is provided on an as is basis without warranty of any kind. 1093882219 is maintained by the National Plan & Provider Enumeration System. The contents of Nathan Mork are for informational purposes only.