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Organization
ASPEN DENTAL ASSOCIATES OF NORTH EASTERN PA, PC
Active
Organization
ASPEN DENTAL ASSOCIATES OF NORTH EASTERN PA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEKAR GUPTA (MCS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1516 SCRANTON CARBONDALE HWY, SCRANTON, PA 18508-1136
(570) 383-3200
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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