| NPI | 1235509084 |
|---|---|
| Doing Business As | MIDWEST DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY MOOS Owner 715-829-2791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |