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Organization
209 BROOKLINE DENTAL
Active
Organization
209 BROOKLINE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA PYUNGHOON LEE DDS (DENTIST)
(443) 538-4129
Entity
Organization
Contact information
Practice address
209 HARVARD ST STE 300, BROOKLINE, MA 02446-5005
(443) 538-4129
Mailing address
210 WINTHROP RD APT 12A, BROOKLINE, MA 02445-4407
(443) 538-4129
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1856823
MA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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