Organization
A V RAWAT PC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANSHUMAN RAWAT DMD (OWNER)
(508) 734-3200
Entity
Organization
Contact information
Practice address
116 PROVIDENCE HWY, EAST WALPOLE, MA 02032-1509
(508) 734-3200
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1855200
MA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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