| Progressive Dental Pc | |
|
1301 Pyott Rd Suite 209 Lake In The Hills IL 60156-9794 | |
| (847) 458-7700 | |
| Not Available |
| Full Name | Progressive Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1301 Pyott Rd, Lake In The Hills, Illinois |
| Authorized Official Name and Position | Daniel J Smulson (OWNER) |
| Authorized Official Contact | 8153859620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Dental Pc 1301 Pyott Rd Suite 209 Lake In The Hills IL 60156-9794 Ph: (847) 458-7700 | Progressive Dental Pc 1301 Pyott Rd Suite 209 Lake In The Hills IL 60156-9794 Ph: (847) 458-7700 |
| NPI Number | 1073845400 |
|---|---|
| Provider Enumeration Date | 02/10/2010 |
| Last Update Date | 02/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073845400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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