| NPI | 1578919924 |
|---|---|
| Doing Business As | ASPEN FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LUAN TRAN President 307-324-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WY 1322) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |