NPI | 1649633470 |
---|---|
Doing Business As | ASPEN DENTAL |
Entity Type | Organization |
Authorized Contact | KEVON E RENNIE Owner 904-495-0881 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN21399) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2016-03-30 |