Organization
PLEASANT SMILES DENTAL CARE, PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERTOLLINI (PRM)
(866) 273-8204
Entity
Organization
Contact information
Practice address
4459 E BLUE GRASS RD, SUITE D, MT PLEASANT, MI 48858-9697
(989) 773-0100
(989) 773-0101
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19922
MI
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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