Individual
DR. ROBERT MORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
08390
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57G79MO
BCBS
MN
Enumeration date
09/26/2006
Last updated
07/08/2007
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