| NPI | 1043615107 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | MIKA WEISS Provider Relations 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20765) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |