Polivy Dental Enterprises, PC

NPI #1396025763 in Chestnut Hill, Massachusetts

Provider Information

NPI Number: 1396025763
Entity Type: Organization
Organization Name: Polivy Dental Enterprises, PC
Primary Specialty: Dentist
Enumeration Date: Aug 17, 2011
Last Updated: Aug 17, 2011

Practice Location

Address: 25 BOYLSTON ST
Address 2: SUITE L15
City: Chestnut Hill
State: Massachusetts
ZIP Code: 02467-1715
Phone: (617) 566-6900

Authorized Official

Name: DR. ADAM CHARLES POLIVY, DMD
Title: PRESIDENT
Phone: (617) 566-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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