| Aspen Dental | |
|
490-19 South Broad Street Meriden CT 06450 | |
| (203) 237-1000 | |
| Not Available |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 490-19 South Broad Street, Meriden, Connecticut |
| Authorized Official Name and Position | Dong Jin Park (DDS/OWNER) |
| 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: () - | Aspen Dental 490-19 South Broad Street Meriden CT 06450 Ph: (203) 237-1000 |
| NPI Number | 1639557390 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639557390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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