| NPI | 1710436233 |
|---|---|
| Doing Business As | PROGRESSIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATT MCREYNOLDS President 405-632-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6855) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |