| Aspen Dental | |
|
2860 W Division St Ste 102 Saint Cloud MN 56301-7329 | |
| (320) 200-9011 | |
| (320) 774-2116 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2860 W Division St, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Eli David Kahn (OWNER) |
| Authorized Official Contact | 3202009011 |
| 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 2860 W Division St Ste 102 Saint Cloud MN 56301-7329 Ph: (320) 200-9011 |
| NPI Number | 1407219306 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407219306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13500 (Minnesota) | Primary |
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