Provider Demographics
NPI:1356517668
Name:MEREDITH ASPRER-BELTRAN, DMD, INC.
Entity type:Organization
Organization Name:MEREDITH ASPRER-BELTRAN, DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ASPRER-BELTRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:707-643-4048
Mailing Address - Street 1:91 ANTONINA AVE
Mailing Address - Street 2:SUITE # B
Mailing Address - City:AMERICAN CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:94503-1193
Mailing Address - Country:US
Mailing Address - Phone:707-643-4048
Mailing Address - Fax:
Practice Address - Street 1:91 ANTONINA AVE
Practice Address - Street 2:SUITE # B
Practice Address - City:AMERICAN CANYON
Practice Address - State:CA
Practice Address - Zip Code:94503-1193
Practice Address - Country:US
Practice Address - Phone:707-643-4048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA429751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
N7589871OtherAETNA DENTAL
CA903719OtherDELTA HEALTHY FAMILIES PROGRAM
708055OtherUNITED CONCORDIA COMPANIES, INC.