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Organization

APOLLONIA DENTAL LLC

Active
Other names
Aspen Dental
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER LA DUC (PROVIDER RELATIONS)
(315) 454-6000
Entity
Organization

Contact information

Practice address
3132 MARKET PL, ONALASKA, WI 54650-6705
(608) 783-5800
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
09/23/2015
Last updated
09/23/2015
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