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Organization
MAYNARD DENTAL ASSOCIATES, LLC
Active
Organization
MAYNARD DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER J MOHEBAN DMD (OWNER)
(978) 298-5281
Entity
Organization
Contact information
Practice address
63 GREAT RD, SUITE 105, MAYNARD, MA 01754-2097
(978) 298-5281
(978) 298-5364
Mailing address
63 GREAT RD, SUITE 105, MAYNARD, MA 01754-2097
(978) 298-5281
(978) 298-5364
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN1855167
MA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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