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Organization
ASPEN DENTAL
Active
Organization
ASPEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY COLE (PROVIDER RELATIONS MANAGER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
5035 FREDERICA ST, STE 3, OWENSBORO, KY 42301-7515
(270) 686-1636
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8709
KY
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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