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Organization
NATHANIEL DURTSCHI DMD PA
Active
Organization
NATHANIEL DURTSCHI DMD PA
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL DURTSCHI DMD (OWNER)
(850) 634-0748
Entity
Organization
Contact information
Practice address
2670 S FERDON BLVD, SUITE 108, CRESTVIEW, FL 32536-5480
(850) 634-0748
(850) 682-0687
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20225
FL
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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