Organization
ASPEN DENTAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J HARVEY DDS (PRESIDENT)
(386) 752-2336
Entity
Organization
Contact information
Practice address
1788 SW BARNETT WAY, LAKE CITY, FL 32025-6953
(386) 752-2336
(386) 752-8601
Mailing address
1788 SW BARNETT WAY, LAKE CITY, FL 32025-6953
(386) 752-2336
(386) 752-8601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14078
FL
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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