| NPI | 1508198474 |
|---|---|
| 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 | 2010-02-03 |
| Last Update Date | 2023-02-10 |