| NPI | 1851530166 |
|---|---|
| Doing Business As | MIDWEST DENTAL LAB |
| Entity Type | Organization |
| Authorized Contact | ROSANNE M NAU VP Of Accounting 309-674-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2016-09-20 |