Organization
AURORA DENTAL, PLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LA DUC (PROVIDER RELATIONS)
(315) 454-6000
Entity
Organization
Contact information
Practice address
7708 W BELL RD, STE 103, GLENDALE, AZ 85308-8695
(623) 734-1506
(623) 979-9566
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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