| 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 |