| Aspen Dental Parkside Pc | |
|
2122 Scott St Lafayette IN 47904-2932 | |
| (765) 447-2456 | |
| (765) 449-1356 |
| Full Name | Aspen Dental Parkside Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2122 Scott St, Lafayette, Indiana |
| Authorized Official Name and Position | David A Knop (DENTIST/OWNER) |
| Authorized Official Contact | 7654472456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Parkside Pc 2122 Scott St Lafayette IN 47904-2932 Ph: (765) 447-2456 | Aspen Dental Parkside Pc 2122 Scott St Lafayette IN 47904-2932 Ph: (765) 447-2456 |
| NPI Number | 1821256983 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821256983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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