NPI 1013125731

Nickolay N Lipetsker, DMD

Practitioner General Practice Dentistry Brookline, MA

Practice location

Address: 1247a Beacon St, Brookline, MA 02446-5202
Phone: (617) 566-5400
Fax: (617) 731-1535

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 18469 (MA)

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Registry record

NPI: 1013125731
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.