Organization
MIDWEST DENTAL MANAGEMENT
Active
Other names
Midwest Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JIM MYER (CFO)
(715) 926-5050
Entity
Organization
Contact information
Practice address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
Mailing address
680 HEHLI WAY, MONDOVI, WI 54755-1639
(715) 926-5050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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