Provider First Line Business Practice Location Address:
281 SANDERS CREEK PARKWAY
Provider Second Line Business Practice Location Address:
C/O ASPEN DENTAL MANAGEMENT CO., INC
Provider Business Practice Location Address City Name:
EAST SYRACUSE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13057
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-966-6470
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2008