| NPI | 1245401926 |
|---|---|
| Doing Business As | PROGRESSIVE ORTHODONTIC ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DAWN LOZANO MARTIN President 352-331-5132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: FL DN14329) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |