| NPI | 1730592163 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON BERTOLLINI Provider Relations Specialist 866-273-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 13084) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |