MARK REHORST

KENOSHA, WI
NPI1457620031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WI  6807-15)
Enumeration Date2011-12-28
Last Update Date2011-12-28
Business Address
-- MARK REHORST DMD
6226 14TH AVE
KENOSHA, WI 53143-4413
Phone number: 262-656-0044
Mailing Address
-- MARK REHORST DMD
625 57TH ST SUITE 700
KENOSHA, WI 53140-4146
Phone number: 262-656-0044
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