| Lab Dmd Llc | |
|
1180 Beacon St Ste 2c Brookline MA 02446-3806 | |
| (617) 939-8020 | |
| Not Available |
| Full Name | Lab Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1180 Beacon St Ste 2c, Brookline, Massachusetts |
| Authorized Official Name and Position | Wenkai Kao (OWNER) |
| Authorized Official Contact | 6179398020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lab Dmd Llc 1180 Beacon St Ste 2c Brookline MA 02446-3806 Ph: () - | Lab Dmd Llc 1180 Beacon St Ste 2c Brookline MA 02446-3806 Ph: (617) 939-8020 |
| NPI Number | 1578390381 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578390381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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