Organization
NEW ERA DENTAL
Active
Other names
Progressive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDHYA GOLI DMD (OFFICE OWNER GENERAL DENTIST)
(617) 576-6566
Entity
Organization
Contact information
Practice address
2400 MASSACHUSETTS AVE, 1170 BEACON ST, CAMBRIDGE, MA 02140
(617) 576-6566
(617) 576-3005
Mailing address
2400 MASSACHUSETTS AVE, 1170 BEACON ST SUITE 110 BROOKLINE MA 02446, CAMBRIDGE, MA 02140-1854
(617) 576-6566
(617) 576-3005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19257
MA
122300000X
Dentist
21256
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396869582
DR. GOHAR
MA
01
—
1871501007
DR GOLI
MA
Enumeration date
05/10/2007
Last updated
08/08/2008
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