NPI | 1598125437 |
---|---|
Doing Business As | ASPEN DENTAL |
Entity Type | Organization |
Authorized Contact | JEBEDIAH SHEPHERD CHRISTY Owner 843-353-3405 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8613) |
Enumeration Date | 2016-03-04 |
Last Update Date | 2016-03-04 |