Individual
DR. KEVIN JUDE ROURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1200 S DETROIT AVE, TOLEDO VA CBOC, TOLEDO, OH 43614-5903
(419) 351-5583
Mailing address
1200 S DETROIT AVE, TOLEDO, OH 43614-5903
(419) 351-5583
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15647
MI
Other
Enumeration date
07/28/2007
Last updated
04/09/2016
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