Organization
ASPEN DENTAL POP OTTUMWA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH TESENE (OWNER)
(641) 954-3390
Entity
Organization
Contact information
Practice address
1255 THEATRE DR, OTTUMWA, IA 52501-3772
(641) 954-3390
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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