Organization
PROGRESSIVE DENTAL & ASSOCIATES, PC
Active
Other names
PROGRESSIVE DENTAL AND ASSOCIATES, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DERELL DURR DMD (OWNER/DENTIST)
(708) 747-4294
Entity
Organization
Contact information
Practice address
20402 CRAWFORD AVE, MATTESON, IL 60443-1734
(708) 747-4294
(708) 747-5223
Mailing address
20402 CRAWFORD AVE, MATTESON, IL 60443-1734
(708) 747-4294
(708) 747-5223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
12/17/2019
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