| NPI | 1336502632 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEBEDIAH SHEPHERD CHRISTY Owner 843-438-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8613) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |