Progressive Dental PC
NPI #1073845400 in Lake in the Hills, Illinois
Provider Information
- NPI Number
- 1073845400
- Entity Type
- Organization
- Organization Name
- Progressive Dental PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 10, 2010
- Last Updated
- Feb 10, 2010
Practice Location
- Address
- 1301 PYOTT RD
- Address 2
- SUITE 209
- State
- Illinois
- ZIP Code
- 60156-9794
- Phone
- (847) 458-7700
Authorized Official
- Name
- DR. DANIEL J SMULSON, DDS
- Title
- OWNER
- Phone
- (815) 385-9620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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