Progressive Dental Concepts LLC

NPI #1619500147 in Marysville, Pennsylvania

Provider Information

NPI Number: 1619500147
Entity Type: Organization
Organization Name: Progressive Dental Concepts LLC
Primary Specialty: Dentist
Enumeration Date: Feb 12, 2020
Last Updated: Feb 12, 2020

Practice Location

Address: 300 S STATE RD
City: Marysville
State: Pennsylvania
ZIP Code: 17053-1221
Phone: (717) 957-3711

Authorized Official

Name: DR. CHARLES FOER
Title: COO
Phone: (717) 580-3603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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