| NPI | 1295238178 |
|---|---|
| Doing Business As | MIDWEST DENTAL - WHITE BEAR LAKE |
| Entity Type | Organization |
| Authorized Contact | CHAD HENDRICKS Director, Payer Strategy 612-351-6876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |