Organization
PLEV SAG, PLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERTOLLINI (PRS)
(866) 273-8204
Entity
Organization
Contact information
Practice address
2685 TITTABAWASSEE RD, SAGINAW, MI 48604-8217
(989) 755-6600
(989) 790-3749
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(866) 273-8204
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13084
MI
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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