| NPI | 1841628658 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | YOUNG PARK Owner 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 20999) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-28 |