Progressive Dentistry LLC
NPI #1174900013 in Lake in the Hills, Illinois
Provider Information
- NPI Number
- 1174900013
- Entity Type
- Organization
- Organization Name
- Progressive Dentistry LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Apr 29, 2015
- Last Updated
- Apr 29, 2015
Practice Location
- Address
- 1301 PYOTT RD
- Address 2
- SUITE 209
- State
- Illinois
- ZIP Code
- 60156-9794
- Phone
- (630) 339-3172
Authorized Official
- Name
- DR. ALAN J ACIERNO, D.D.S.
- Title
- MANAGER
- Phone
- (630) 339-3172
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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