Lawrence L. Phan DMD

NPI 1083620819 - Dentist - 1223P0700X

NPI Details
NPI 1083620819
Gender Male
Enumeration Date 08/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1330 BEACON ST
SUITE 353
BROOKLINE MA, 02446-3282, US
Phone (617) 734-6300
Fax (617) 734-2732
Business Location
1330 BEACON ST
SUITE 353
BROOKLINE MA, 02446-3282, US
Phone (617) 734-6300
Fax (617) 734-2732
Toxanomy
Taxonomy Code 1223P0700X
License State Massachusetts
License Number 16254
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According to our database, Dr. Lawrence L. Phan DMD NPI is 1083620819, taxonomy code is 1223P0700X and license number is 16254, license state is located at Massachusetts. Lawrence L. Phan DMD physically located at 1330 Beacon St, Brookline MA, 02446-3282. NPI Number Lawrence L. Phan DMD has the Individual type.

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1083620819 NPI number is provided on an as is basis without warranty of any kind. 1083620819 is maintained by the National Plan & Provider Enumeration System. The contents of Lawrence L. Phan DMD are for informational purposes only.