Individual
MITCHELL RORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9961 S 168TH AVE, OMAHA, NE 68136-4232
(402) 614-4017
Mailing address
9961 S 168TH AVE, OMAHA, NE 68136-4232
(402) 614-4017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7722
NE
1223G0001X
General Practice Dentistry
DDS-09950
IA
Other
Enumeration date
06/08/2021
Last updated
04/25/2022
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