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1811040868
THOMAS OGDEN MORK
OCONOMOWOC, WI
NPI
1811040868
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: WI 2680-015)
Enumeration Date
2007-01-20
Last Update Date
2007-07-08
Business Address
Dr. THOMAS OGDEN MORK D.D.S.
1259 CORPORATE CENTER DR
OCONOMOWOC, WI 53066-4836
Phone number: 262-567-7840
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Mailing Address
Dr. THOMAS OGDEN MORK D.D.S.
1119 N BREENS BAY RD
OCONOMOWOC, WI 53066-8724
Phone number: 262-646-2748
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