| NPI | 1982094579 |
|---|---|
| Doing Business As | ASPEN DENTAL |
| Entity Type | Organization |
| Authorized Contact | DONGHO KIM Owner 315-454-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: RI 3243) |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |