Organization
QUINCY PEDIATRIC DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN B LEE D.M.D. (PRESIDENT)
(617) 471-2184
Entity
Organization
Contact information
Practice address
111 WILLARD ST, SUITE 2D, QUINCY, MA 02169-1200
(617) 471-2184
(617) 471-2185
Mailing address
111 WILLARD ST, SUITE 2D, QUINCY, MA 02169-1200
(617) 471-2184
(617) 471-2185
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18806
MA
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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