| 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 |