JACOB DVORAK, DT
Dental Therapist
Active
Individual
NPI: 1174968028
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Therapist | 125J00000X | Yes | DT23 (MN) |
Frequently Asked Questions
NPI 1174968028 is the National Provider Identifier for JACOB DVORAK, DT, a Dental Therapist provider located in Mankato, MN. This NPI was enumerated on May 6, 2013.
JACOB DVORAK, DT practices at 309 HOLLY LN, Mankato, MN 56001.
Quick Facts
- NPI
- 1174968028
- Type
- Individual
- Enumerated
- May 6, 2013
- Last Updated
- May 6, 2013
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