Organization
POLIVY DENTAL ENTERPRISES, PC
Active
Other names
Shaff and Polivy Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM CHARLES POLIVY DMD (PRESIDENT)
(617) 566-6900
Entity
Organization
Contact information
Practice address
25 BOYLSTON ST, SUITE L15, CHESTNUT HILL, MA 02467-1715
(617) 566-6900
(617) 566-0629
Mailing address
25 BOYLSTON ST, SUITE L15, CHESTNUT HILL, MA 02467-1715
(617) 566-6900
(617) 566-0629
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855535
MA
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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