Aspen Dental Pop Ottumwa PC

NPI #1184132995 in Ottumwa, Iowa

Provider Information

NPI Number: 1184132995
Entity Type: Organization
Organization Name: Aspen Dental Pop Ottumwa PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 15, 2018
Last Updated: Jan 15, 2018

Practice Location

Address: 1255 THEATRE DR
City: Ottumwa
State: Iowa
ZIP Code: 52501-3772
Phone: (641) 954-3390

Authorized Official

Name: JOSEPH TESENE
Title: OWNER
Phone: (641) 954-3390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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