| NPI | 1629324785 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES M PERSONS Supervisor Provider Relations 866-273-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA 8624) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |