| NPI | 1912329731 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | YOUNG CHAN PARK Dentist/Owner 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NH 3396) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |