Boylston Street Dental, LLC

NPI #1922513597 in Chestnut Hill, Massachusetts

Provider Information

NPI Number: 1922513597
Entity Type: Organization
Organization Name: Boylston Street Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Dec 5, 2017
Last Updated: Dec 5, 2017

Practice Location

Address: 300 BOYLSTON ST STE 202
City: Chestnut Hill
State: Massachusetts
ZIP Code: 02467-1959
Phone: (617) 566-6900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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