| NPI | 1942587399 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | DUSTIN R. DIXON Managing Director 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 19229) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |