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Organization

DZ DENTAL, PLLC

Active
Other names
Aspen Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MIKA WEISS (PROVIDER RELATIONS)
(315) 454-6000
Entity
Organization

Contact information

Practice address
2153 GALLATIN PIKE N, MADISON, TN 37115-2003
(315) 454-6000
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000009160
TN

Other

Enumeration date
02/11/2015
Last updated
02/11/2015
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