| NPI | 1740382639 |
|---|---|
| Other Name | PROGRESSIVE DENTAL GROUP OF DAVIS |
| Entity Type | Organization |
| Authorized Contact | JASON GOLDEN BARTON Owner 801-544-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 5310263) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-07-03 |