Organization
PROGRESSIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDHYA GOLI D.M.D (OWNER/DENTIST)
(617) 776-5550
Entity
Organization
Contact information
Practice address
1170 BEACON ST, SUITE 110, BROOKLINE, MA 02446-3963
(617) 383-6593
(617) 383-6595
Mailing address
1170 BEACON ST, SUITE 110, BROOKLINE, MA 02446-3963
(617) 383-6593
(617) 383-6595
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19257
MA
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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