Individual
DR. MANSOUR MOHEBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
154 MAIN ST, NORTHBOROUGH, MA 01532-1930
(508) 393-2522
(508) 393-9782
Mailing address
154 MAIN ST, NORTHBOROUGH, MA 01532-1930
(508) 393-2522
(508) 393-9782
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11905
MA
Other
Enumeration date
12/07/2006
Last updated
02/25/2008
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