Organization
JULIE R CALLUM DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE ROSE CALLUM DMD (OWNER/OPERATOR)
(781) 593-7665
Entity
Organization
Contact information
Practice address
81 BROAD ST # R, LYNN, MA 01902-5020
(781) 593-7665
(781) 593-8344
Mailing address
81R BROAD ST, LYNN, MA 01902-5003
(781) 593-7665
(781) 593-8344
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
18299
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18299
DELTA DENTAL PROVIDER ID
—
01
—
X10992
BCBS OF MA PROVIDER ID
—
Enumeration date
12/13/2005
Last updated
09/04/2007
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