Individual
DR. DESIREE MICHELE MORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
241 N. MAIN STREET, COCHRANE, WI 54622
(608) 248-2442
(608) 248-3132
Mailing address
P.O. BOX 118, 241 N. MAIN STREET, COCHRANE, WI 54622
(608) 248-2442
(608) 248-3132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5882-015
WI
Other
Enumeration date
04/19/2007
Last updated
12/29/2011
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