| NPI | 1235489857 |
|---|---|
| Doing Business As | PROGRESSIVE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD C CHAPMAN Owner 304-312-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WV 3959) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2023-08-21 |