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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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