| Lender Dmd Pc | |
|
320 Washington Street 3rd Floor Brookline MA 02445-2201 | |
| (617) 264-9200 | |
| Not Available |
| Full Name | Lender Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 320 Washington Street 3rd Floor, Brookline, Massachusetts |
| Authorized Official Name and Position | Julian Lender (OWNER) |
| Authorized Official Contact | 6172649200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lender Dmd Pc 320 Washington Street 3rd Floor Brookline MA 02445-2201 Ph: (617) 264-9200 | Lender Dmd Pc 320 Washington Street 3rd Floor Brookline MA 02445-2201 Ph: (617) 264-9200 |
| NPI Number | 1811128218 |
|---|---|
| Provider Enumeration Date | 08/03/2009 |
| Last Update Date | 08/31/2020 |
| Medicare PECOS PAC ID | 8123448594 |
|---|---|
| Medicare Enrollment ID | O20201023001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811128218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Massachusetts) | Primary |
| Provider Name | Julian Lender |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1992737605 PECOS PAC ID: 4981923968 Enrollment ID: I20201023001951 |
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