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1083620819
LAWRENCE L. PHAN
BROOKLINE, MA
NPI
1083620819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: MA 16254)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
Dr. LAWRENCE L. PHAN DMD
1330 BEACON ST SUITE 353
BROOKLINE, MA 02446-3282
Phone number: 617-734-6300
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Mailing Address
Dr. LAWRENCE L. PHAN DMD
1330 BEACON ST SUITE 353
BROOKLINE, MA 02446-3282
Phone number: 617-734-6300
Copy
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