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Organization
PLEASANT SMILES DENTAL CARE, PLLC
Active
Organization
PLEASANT SMILES DENTAL CARE, PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERTOLLINI (PRM)
(866) 273-8204
Entity
Organization
Contact information
Practice address
4459 E BLUE GRASS RD, SUITE D, MT PLEASANT, MI 48858-9697
(989) 773-0100
(989) 773-0101
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19922
MI
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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