Organization
PROGRESSIVE DG, LLC
Active
Other names
Progressive Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUNDREA EADY DMD (OWNER)
(305) 479-7602
Entity
Organization
Contact information
Practice address
2485 PARK CENTRAL BLVD STE 3, DECATUR, GA 30035-3903
(770) 593-4976
Mailing address
2485 PARK CENTRAL BLVD STE 3, DECATUR, GA 30035-3903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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