| NPI | 1134408784 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | ALOK GUPTA Owner 217-793-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028320) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |