| NPI | 1922513597 |
|---|---|
| Other Name | BOYLSTON STREET DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ADAM CHARLES POLIVY Partner 617-566-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |