Organization
MOBO JV LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LACLAIR (CLINICAL SYSTEMS DIRECTOR)
(978) 660-6029
Entity
Organization
Contact information
Practice address
1629 SMIRL DR STE 101, HEATH, TX 75032-7624
(972) 433-6500
Mailing address
257 TURNPIKE RD STE 110, SOUTHBOROUGH, MA 01772-1791
(508) 281-6464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
05/20/2022
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