| Aspen Dental Of Erie Llc | |
|
2049 Interchange Rd Erie PA 16509-8315 | |
| (814) 864-1500 | |
| (814) 864-9480 |
| Full Name | Aspen Dental Of Erie Llc |
|---|---|
| Speciality | Dentist |
| Location | 2049 Interchange Rd, Erie, Pennsylvania |
| Authorized Official Name and Position | Jason Bertollini (PRS) |
| Authorized Official Contact | 8662738204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Of Erie Llc Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Aspen Dental Of Erie Llc 2049 Interchange Rd Erie PA 16509-8315 Ph: (814) 864-1500 |
| NPI Number | 1679928568 |
|---|---|
| Provider Enumeration Date | 04/28/2016 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679928568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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