| NPI | 1245539303 |
|---|---|
| Doing Business As | PROGRESSIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KARLA CONCEPCION Billing COO Rdinator 772-878-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |