Organization
ASPEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA STELLA (REGIONAL MANAGER)
(315) 440-8203
Entity
Organization
Contact information
Practice address
15500 VAN AKEN BLVD, APT 205, SHAKER HEIGHTS, OH 44120-5390
(216) 751-8767
(216) 661-8022
Mailing address
15500 VAN AKEN BLVD, APT 205, SHAKER HEIGHTS, OH 44120-5390
(216) 751-8767
(216) 661-8022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.022871
OH
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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