NPI | 1154536621 |
---|---|
Other Name | PROGRESSIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | SANDHYA GOLI Office Owner General Dentist 617-576-6566 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA 19257) |
Additional Taxonomies | 122300000X Dentist (Licence: MA 21256) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2008-08-08 |