| NPI | 1326023474 |
|---|---|
| Doing Business As | ASPEN DENTAL CARE ALLIANCE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TODD ALAN PORTER Owner 651-224-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN D11535) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |