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Organization

BEACON FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. XINYAN LUCY LIU DMD (OWNER/MANAGER)
(617) 738-6188
Entity
Organization

Contact information

Practice address
1691 BEACON ST, SUITE 104, BROOKLINE, MA 02445-4400
(617) 738-6188
(857) 284-8828
Mailing address
1691 BEACON ST, SUITE 104, BROOKLINE, MA 02445-4400
(617) 738-6188
(857) 284-8828

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1855149
MA

Other

Enumeration date
02/06/2015
Last updated
02/06/2015
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