Organization
ALL DENTAL, PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VAN CAMP (PROVIDER RELATIONS SPECIALIST)
(315) 454-6000
Entity
Organization
Contact information
Practice address
1525 COMMERCIAL WAY, SPRING HILL, FL 34606-4527
(352) 200-5345
(352) 688-2542
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21028
FL
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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