| NPI | 1952495210 |
|---|---|
| Doing Business As | PROGRESSIVE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JASON GOLDEN BARTON President 801-355-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 5310263) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: UT 5310263) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-07-18 |