| NPI | 1225798929 |
|---|---|
| Doing Business As | PROGRESSIVE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | AUNDREA EADY Owner 305-479-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |