Organization
LAUDERDALE DENTAL LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE LAUDERDALE DMD (DMD/OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
6783 VETERANS PKWY, COLUMBUS, GA 31909-3254
(706) 321-3909
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13892
GA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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