Aspen Denta; | |
2641 N 44th St Ste 101 Phoenix AZ 85008-1573 | |
(602) 718-1600 | |
(602) 955-5037 |
Full Name | Aspen Denta; |
---|---|
Speciality | Dentist |
Location | 2641 N 44th St Ste 101, Phoenix, Arizona |
Authorized Official Name and Position | David Sung (OWNER) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aspen Denta; Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Denta; 2641 N 44th St Ste 101 Phoenix AZ 85008-1573 Ph: (602) 718-1600 |
NPI Number | 1518308311 |
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Provider Enumeration Date | 07/10/2013 |
Last Update Date | 07/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518308311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8053 (Arizona) | Primary |
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