| NPI | 1427298637 |
|---|---|
| Doing Business As | MIDWEST DENTAL |
| Entity Type | Organization |
| Authorized Contact | LORI PELKE Professional Services 715-926-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |