| NPI | 1043617293 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEBEDIAH S CHRISTY Dds/Owner 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |