| NPI | 1013252097 |
|---|---|
| Doing Business As | MIDWEST DENTAL |
| Entity Type | Organization |
| Authorized Contact | DIANA L QUILLIN Owner 316-686-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KS 7071) |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |