Organization
PROGRESSIVE DENTAL OF MONTROSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J DEAN (BUSINESS MANAGER)
(607) 754-2273
Entity
Organization
Contact information
Practice address
57 PUBLIC AVE, MONTROSE, PA 18801-1219
(570) 278-1186
(570) 278-1873
Mailing address
57 PUBLIC AVE, MONTROSE, PA 18801-1219
(570) 278-1186
(570) 278-1873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
PA
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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