NPI | 1306177241 |
---|---|
Doing Business As | MIDWEST DENTAL SLEEP CENTER |
Entity Type | Organization |
Authorized Contact | RICHARD ALLEN CRAIG President 815-483-2980 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-01-15 |
Last Update Date | 2023-02-10 |