Organization
TWO THIRTY DENTAL, LLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY MARKO (INSURANCE OPERATIONS VP)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1168 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-1923
(541) 378-3210
Mailing address
1168 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-1923
(541) 378-3210
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9826
OR
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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