Individual
DR. MARVIN B DVORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4028 HARRISON PLZ, OMAHA, NE 68147-1090
(402) 490-5416
(402) 731-8523
Mailing address
4028 HARRISON PLZ, OMAHA, NE 68147-1090
(402) 490-5416
(402) 731-8523
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3692
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47 054617800
—
NE
Enumeration date
11/09/2006
Last updated
07/08/2007
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