Organization
ANSANA LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANSANA SHRESTHA DMD (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
849 SHUGART RD, DALTON, GA 30720-2433
(706) 459-3333
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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