| NPI | 1548431588 |
|---|---|
| Doing Business As | ASPEN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | PHILLIP DAVID LOWDER Owner 208-745-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |