DR. Thomas Ogden Mork, D.D.S.

NPI #1811040868 in Oconomowoc, Wisconsin

Provider Information

NPI Number: 1811040868
Entity Type: Individual
Name: DR. Thomas Ogden Mork, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: D.D.S.
Enumeration Date: Jan 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1259 CORPORATE CENTER DR
City: Oconomowoc
State: Wisconsin
ZIP Code: 53066-4836
Phone: (262) 567-7840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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