Organization
DIXON DENTAL CONCEPTS INC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN R. DIXON DMD (MANAGING DIRECTOR)
(315) 454-6000
Entity
Organization
Contact information
Practice address
5231 UNIVERSITY PKWY UNIT 120, UNIVERSITY PARK, FL 34201-3009
(941) 363-0458
(941) 351-5827
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19229
FL
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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