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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