| NPI | 1760727234 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | KALA SAGAR MADUGULA Owner 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR 9735) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |