| NPI | 1255639696 |
|---|---|
| Doing Business As | MIDWEST DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES MYER CFO 715-926-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |