| NPI | 1518308311 | 
|---|---|
| Doing Business As | ASPEN DENTA; | 
| Entity Type | Organization | 
| Authorized Contact | DAVID SUNG Owner 315-454-6000  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 8053)  | 
| Enumeration Date | 2013-07-10 | 
| Last Update Date | 2013-07-10 |