| NPI | 1285978189 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | KALA MADUGULA Owner 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA 272750) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |