Organization
GRIFFEE DENTAL I PA
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VAN CAMP (PROVIDER RELATIONS SPECIALIST)
(315) 454-6000
Entity
Organization
Contact information
Practice address
3333 NORTHLAKE BLVD, STE 6, PALM BEACH GARDENS, FL 33403
(561) 776-9984
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18151
FL
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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