| Progressive Periodontics Pc | |
|
2412 Lake Lansing Rd Lansing MI 48912-3618 | |
| (517) 372-7347 | |
| (517) 372-7349 |
| Full Name | Progressive Periodontics Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2412 Lake Lansing Rd, Lansing, Michigan |
| Authorized Official Name and Position | Christopher E Kazor (PRESIDENT) |
| Authorized Official Contact | 5173727347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Periodontics Pc 2412 Lake Lansing Rd Lansing MI 48912-3618 Ph: (517) 372-7347 | Progressive Periodontics Pc 2412 Lake Lansing Rd Lansing MI 48912-3618 Ph: (517) 372-7347 |
| NPI Number | 1669544888 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669544888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2901017282 (Michigan) | Primary |
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