NPI | 1396025763 |
---|---|
Doing Business As | SHAFF AND POLIVY DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ADAM CHARLES POLIVY President 617-566-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MA DN1855535) |
Enumeration Date | 2011-08-17 |
Last Update Date | 2011-08-17 |