Individual
MOHAMMED E MOBASHERAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MSCD
Contact information
Practice address
3850 MYSTIC VALLEY PKWY, MEADOW GLEN MALL, MEDFORD, MA 02155
(781) 396-6613
(781) 395-4292
Mailing address
3850 MYSTIC VALLEY PKWY, MEADOW GLEN MALL, MEDFORD, MA 02155
(781) 396-6613
(781) 395-4292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15376
MA
1223P0221X
Pediatric Dentistry
15376
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9770658
—
MA
Enumeration date
12/12/2006
Last updated
09/11/2025
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