| NPI | 1972926111 |
|---|---|
| Former Legal Business Name | PROGRESSIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON G BARTON Member/Owner 801-544-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5310263) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |