NPI 1023565033

Progressive Dental Office Corp

Organisation General Practice Dentistry Hialeah, FL

Practice location

Address: 18600 NW 87th Ave Suite 125, Hialeah, FL 33015-3512
Phone: (305) 829-0100
Fax: (305) 829-7979

Authorised official

Name: Aydee Montero
Title: Administration
Phone: (305) 829-0100

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN15053 (FL)

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Registry record

NPI: 1023565033
Entity type: Organization
NPI issued: 7 Sep 2016
Record last updated: 7 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.