| NPI | 1750624110 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEROME AUSTRIACO Owner 866-273-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019021311) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |