| 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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