| NPI | 1043676604 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELLIOTT HODGES DUDLEY Owner 731-660-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000009633) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |