| Progressive Dental Office Corp | |
|
18600 Nw 87th Ave Suite 125 Hialeah FL 33015-3512 | |
| (305) 829-0100 | |
| (305) 829-7979 |
| Full Name | Progressive Dental Office Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 18600 Nw 87th Ave, Hialeah, Florida |
| Authorized Official Name and Position | Aydee Montero (ADMINISTRATION) |
| Authorized Official Contact | 3058290100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Dental Office Corp 18600 Nw 87th Ave Suite 125 Hialeah FL 33015-3512 Ph: (305) 829-0100 | Progressive Dental Office Corp 18600 Nw 87th Ave Suite 125 Hialeah FL 33015-3512 Ph: (305) 829-0100 |
| NPI Number | 1023565033 |
|---|---|
| Provider Enumeration Date | 09/07/2016 |
| Last Update Date | 09/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023565033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15053 (Florida) | Primary |
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