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Organization
LAWRENCE L. PHAN, DMD, PC
Active
Organization
LAWRENCE L. PHAN, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE LUAN PHAN D.M.D. (CEO)
(617) 734-6300
Entity
Organization
Contact information
Practice address
1330 BEACON ST, SUITE 353, BROOKLINE, MA 02446-3282
(617) 734-6300
(617) 734-2732
Mailing address
1330 BEACON ST, SUITE 353, BROOKLINE, MA 02446-3282
(617) 734-6300
(617) 734-2732
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
16254
MA
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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