Organization
GL MENDLIK DDS PC
Active
Other names
Mendlik Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GARRETT MENDLIK DDS MS (PRESIDENT)
(402) 334-2000
Entity
Organization
Contact information
Practice address
1830 N BELL ST, FREMONT, NE 68025-3161
(402) 334-2000
(402) 334-3024
Mailing address
17775 MASON STREET, STE 2, OMAHA, NE 68118
(402) 334-2000
(402) 334-3024
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3648
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6097
NE
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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