NPI | 1013266246 |
---|---|
Doing Business As | PROGRESSIVE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DAVID SALAH Owner ,President 248-349-7560 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 2901016504) |
Enumeration Date | 2012-09-04 |
Last Update Date | 2012-09-04 |