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Organization

SANDHYA GOLI DMD, LLC

Active
Parent organization
SANDHYA GOLI DMD, LLC
Other names
New Era Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
SANDHYA GOLI DMD, LLC
Authorized official
DR. SANDHYA GOLI D.M.D (OWNER)
(617) 576-6566
Entity
Organization

Contact information

Practice address
2400 MASSACHUSETTS AVE, 2D FLOOR, CAMBRIDGE, MA 02140-1854
(617) 576-6566
(617) 576-3005
Mailing address
2400 MASSACHUSETTS AVE, 2D FLOOR, CAMBRIDGE, MA 02140-1854
(617) 576-6566
(617) 576-3005

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19257
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0280852
MA
Enumeration date
04/04/2008
Last updated
04/04/2008
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