NPI | 1447613328 |
---|---|
Doing Business As | ASPEN DENTAL |
Entity Type | Organization |
Authorized Contact | NATHANIEL DURTSCHI Owner 850-634-0748 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN20225) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2016-03-30 |