Organization · Type 2 NPI
Convivial Dental PC
Dental Clinic/Center · Chestnut Hill, MA
NPI number
1689007908
Active
Practice location
1244 Boylston St Ste 205
Chestnut Hill, MA 02467-2115
Mailing address
64 Pine St
Dover, MA 02030-2426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN1855922 (MA) |
| Multi-Specialty Clinic/Center | 261QM1300X | DN1855922 (MA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Chestnut Hill
About NPI 1689007908
Convivial Dental PC's National Provider Identifier is 1689007908, issued on Aug 11, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chestnut Hill, MA. The record was last updated on Aug 11, 2013.