Organization
WI DENTAL SC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARWINDER JUDGE (OWNER)
(866) 273-8204
Entity
Organization
Contact information
Practice address
12455 W CAPITOL DR, BROOKFIELD, WI 53005-2461
(262) 792-1100
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6326
WI
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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