Individual
DR. DAVID N MOHEBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
154 MAIN ST, NORTHBOROUGH, MA 01532-1930
(508) 393-2522
Mailing address
79 BARRY RD, WORCESTER, MA 01609-1140
(508) 754-0791
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19949
MA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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