Organization
MOHAN VIRANI DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANIK MOHAN DDS (MANAGING MEMBER)
(408) 391-6024
Entity
Organization
Contact information
Practice address
128 MAIN ST STE 3, STURBRIDGE, MA 01566-1556
(408) 391-6024
Mailing address
128 MAIN ST STE 3, STURBRIDGE, MA 01566-1556
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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