Individual
NAVEEN MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 463-4141
Mailing address
2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
(215) 463-4141
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS041376
PA
Other
Enumeration date
06/04/2012
Last updated
04/12/2018
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