NPI | 1144513565 |
---|---|
Doing Business As | MIDWEST DENTAL |
Entity Type | Organization |
Authorized Contact | JEFFREY W MOOS CEO 715-926-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2011-05-18 |
Last Update Date | 2011-05-18 |