Organization
A & Z DENTAL, PC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEN CLOS (PROVIDER RELATIONS MANAGER)
(315) 464-6000
Entity
Organization
Contact information
Practice address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(866) 273-8204
(866) 803-4943
Mailing address
5550 HIGHWAY 153, SUITE 100, HIXSON, TN 37343-4989
(423) 875-2626
(423) 875-1311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9170
TN
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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