| NPI | 1104364926 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LA DUC Provider Relations 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |