Organization
BOYLSTON STREET DENTAL, LLC
Active
Other names
Boylston Street Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM CHARLES POLIVY DMD (PARTNER)
(617) 566-6900
Entity
Organization
Contact information
Practice address
300 BOYLSTON ST STE 202, CHESTNUT HILL, MA 02467-1959
(617) 566-6900
Mailing address
300 BOYLSTON ST STE 202, CHESTNUT HILL, MA 02467-1959
(617) 566-6900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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