| NPI | 1447860523 |
|---|---|
| Doing Business As | MIDWEST DENTAL - SEWARD |
| Entity Type | Organization |
| Authorized Contact | BRENT ALTHOFF Credentialing Manager 715-203-4689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |