| NPI | 1952640161 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | SUMIR MATHUR Owner 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 8169) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |