| NPI | 1427493378 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SCOTT CODWISE DICKERSON Owner/Managing Clinical Director 866-273-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 16315) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |