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Organization
PROGRESSIVE DENTAL, LLC
Active
Organization
PROGRESSIVE DENTAL, LLC
Active
Other names
Progressive Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARLA CONCEPCION (BILLING COORDINATOR)
(772) 878-5880
Entity
Organization
Contact information
Practice address
8511 S FEDERAL HWY, PORT SAINT LUCIE, FL 34952-3346
(772) 878-5880
(772) 878-7475
Mailing address
8511 S FEDERAL HWY, PORT SAINT LUCIE, FL 34952-3346
(772) 878-5880
(772) 878-7475
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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