Dvorak, Jacob Lee

Dvorak, Jacob Lee is an individual health care provider with primary practice located at 309 Holly Ln , Mankato MN 56001-5422. He recently has only one registered license in Dental Providers / Dental Therapist, which is considered as his primary health care specialty. Dvorak, Jacob Lee can be contacted via phone (507) 388-2120.

Contact Information

Primary practice address
309 Holly Ln Mankato MN 56001-5422
Phone: (507) 388-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X DT23 Minnesota

Profile Details

NPI number 1174968028
LBN Legal business name Dvorak, Jacob Lee
Credentials DT
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2013
Last updated May 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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