| NPI | 1124529334 |
|---|---|
| Doing Business As | PROGRESSIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | AYESHA DOWNS Owner 952-445-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN D12357) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-03-17 |