NPI | 1881877553 |
---|---|
Doing Business As | MIDWEST DENTAL |
Entity Type | Organization |
Authorized Contact | JEFFREY W MOOS CEO 715-926-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MN D11386) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2007-12-17 |