| NPI | 1750747655 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON BERTOLLINI Prm 866-273-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 21470) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |