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 |