Organization
PROGRESSIVE ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SENTHIL N ARUN BDS, DMD, MSD, PH D (ORTHODONTIST)
(706) 288-7538
Entity
Organization
Contact information
Practice address
3306 EMERALD LN, JEFFERSON CITY, MO 65109-6880
(573) 206-8777
Mailing address
3306 EMERALD LN, JEFFERSON CITY, MO 65109-6880
(573) 206-8777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2013009439
MO
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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