Individual
DR. ADAM CHARLES POLIVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 E NEWTON ST, ROOM G-401, BOSTON, MA 02118-2308
(617) 638-4705
Mailing address
100 E NEWTON ST, ROOM G-401, BOSTON, MA 02118-2308
(617) 638-4705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL10956
MA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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