Mitchell Dwight Omori, DDS

NPI #1164574208 in Deerfield, Illinois

Provider Information

NPI Number
1164574208
Entity Type
Individual
Name
Mitchell Dwight Omori, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jan 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
400 LAKE COOK RD
Address 2
SUITE 200A
ZIP Code
60015
Phone
(847) 945-8565

Specialties & Taxonomy Codes

Specialty
Dentist

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