Organization
PROGRESSIVE PERIODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER E KAZOR DDS, MS, PHD (PRESIDENT)
(517) 372-7347
Entity
Organization
Contact information
Practice address
2412 LAKE LANSING RD, LANSING, MI 48912-3618
(517) 372-7347
(517) 372-7349
Mailing address
2412 LAKE LANSING RD, LANSING, MI 48912-3618
(517) 372-7347
(517) 372-7349
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901017282
MI
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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