| NPI | 1568890531 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEN CLOS Provider Relations Manager 315-464-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TN 9170) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |