| Aspen Dental | |
|
806 S Duff Ave Ste 104 Ames IA 50010-6823 | |
| (515) 509-2800 | |
| (515) 232-0419 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 806 S Duff Ave Ste 104, Ames, Iowa |
| Authorized Official Name and Position | Walid Fatah (OWNER) |
| Authorized Official Contact | 5155092800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 806 S Duff Ave Ste 104 Ames IA 50010-6823 Ph: (515) 509-2800 |
| NPI Number | 1588190524 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588190524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 08969 (Iowa) | Primary |
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