| NPI | 1053739979 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | CANDACE LAUDERDALE Dmd/Incorporator 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA 13892) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |