| Aspen Dental | |
|
12455 W Capitol Dr Brookfield WI 53005-2461 | |
| (262) 792-1100 | |
| (262) 790-1261 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist |
| Location | 12455 W Capitol Dr, Brookfield, Wisconsin |
| Authorized Official Name and Position | Jennifer La Duc (PROVIDER RELATIONS) |
| Authorized Official Contact | 3154546000 |
| 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 12455 W Capitol Dr Brookfield WI 53005-2461 Ph: (262) 792-1100 |
| NPI Number | 1235677303 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235677303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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