Lawrence L. Phan, Dmd, Pc | |
1330 Beacon St Suite 353 Brookline MA 02446-3282 | |
(617) 734-6300 | |
(617) 734-2732 |
Full Name | Lawrence L. Phan, Dmd, Pc |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 1330 Beacon St, Brookline, Massachusetts |
Authorized Official Name and Position | Lawrence Luan Phan (CEO) |
Authorized Official Contact | 6177346300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lawrence L. Phan, Dmd, Pc 1330 Beacon St Suite 353 Brookline MA 02446-3282 Ph: (617) 734-6300 | Lawrence L. Phan, Dmd, Pc 1330 Beacon St Suite 353 Brookline MA 02446-3282 Ph: (617) 734-6300 |
NPI Number | 1154627180 |
---|---|
Provider Enumeration Date | 02/09/2011 |
Last Update Date | 02/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154627180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 16254 (Massachusetts) | Primary |
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