Organization
SIDNEY SCHULZ DDS LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LA DUC (PROVIDER RELATIONS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
404 S KOELLER ST, OSHKOSH, WI 54902-5547
(920) 233-3500
(920) 233-3574
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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