| Julie R Callum Dmd Pc | |
|
81 Broad St # R Lynn MA 01902-5020 | |
| (781) 593-7665 | |
| (781) 593-8344 |
| Full Name | Julie R Callum Dmd Pc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 81 Broad St # R, Lynn, Massachusetts |
| Authorized Official Name and Position | Julie Rose Callum (OWNER/OPERATOR) |
| Authorized Official Contact | 7815937665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie R Callum Dmd Pc 81r Broad St Lynn MA 01902-5003 Ph: (781) 593-7665 | Julie R Callum Dmd Pc 81 Broad St # R Lynn MA 01902-5020 Ph: (781) 593-7665 |
| NPI Number | 1427033422 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427033422 | NPI | - | NPPES |
| 18299 | Other | DELTA DENTAL PROVIDER ID | |
| X10992 | Other | BCBS OF MA PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 18299 (Massachusetts) | Primary |
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