Organization
PROGRESSIVE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J SMULSON DDS (OWNER)
(815) 385-9620
Entity
Organization
Contact information
Practice address
1301 PYOTT RD, SUITE 209, LAKE IN THE HILLS, IL 60156-9794
(847) 458-7700
Mailing address
1301 PYOTT RD, SUITE 209, LAKE IN THE HILLS, IL 60156-9794
(847) 458-7700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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