Organization
PROGRESSIVE DENTISTRY & ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED POPE DDS (OWNER)
(480) 775-8600
Entity
Organization
Contact information
Practice address
2995 W ELLIOT RD, STE 1, CHANDLER, AZ 85224-1670
(480) 775-8600
Mailing address
4146 NEUMAN RD, SAINT CLAIR, MI 48079-3234
(520) 423-3890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5625
AZ
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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