| 209 Brookline Dental | |
|
209 Harvard St Ste 300 Brookline MA 02446-5005 | |
| (443) 538-4129 | |
| Not Available |
| Full Name | 209 Brookline Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 209 Harvard St Ste 300, Brookline, Massachusetts |
| Authorized Official Name and Position | Joshua Pyunghoon Lee (DENTIST) |
| Authorized Official Contact | 4435384129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 209 Brookline Dental 210 Winthrop Rd Apt 12a Brookline MA 02445-4407 Ph: (443) 538-4129 | 209 Brookline Dental 209 Harvard St Ste 300 Brookline MA 02446-5005 Ph: (443) 538-4129 |
| NPI Number | 1386146314 |
|---|---|
| Provider Enumeration Date | 03/06/2018 |
| Last Update Date | 03/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386146314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN1856823 (Massachusetts) | Primary |
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