| Aspen Dental Group, Pa | |
|
1788 Sw Barnett Way Lake City FL 32025-6953 | |
| (386) 752-2336 | |
| (386) 752-8601 |
| Full Name | Aspen Dental Group, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1788 Sw Barnett Way, Lake City, Florida |
| Authorized Official Name and Position | Robert J Harvey (PRESIDENT) |
| Authorized Official Contact | 3867522336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Group, Pa 1788 Sw Barnett Way Lake City FL 32025-6953 Ph: (386) 752-2336 | Aspen Dental Group, Pa 1788 Sw Barnett Way Lake City FL 32025-6953 Ph: (386) 752-2336 |
| NPI Number | 1780996181 |
|---|---|
| Provider Enumeration Date | 07/14/2010 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780996181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN14078 (Florida) | Primary |
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