Organization

Elovic Dental Associates, Pc

Legal Business Name

Elovic Dental Associates, Pc

NPI Number

1518919398

NPI Type

Organization

Enumeration Date

05/17/2006

Specialties

(Taxonomies)

Code

1223G0001X
1223P0700X

Primary Taxonomy

No
No

Licenses

State

Massachusetts
Massachusetts

License Number

17210
17592

Contact
Information

Purpose

Mailing
Location

Address

665 BEACON ST
665 BEACON ST

City

Boston
Boston

State

MA
MA

Postal Code

02215-3202
02215-3202

Country

US
US

Telephone Number

(617) 247-8888
(617) 247-8888

Authorized Official

Name

Rebecca Elovic

Title or Position

TREASURER

Telephone Number

(617) 247-8888

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address