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Individual

DR. ROBERT MEHANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD CAGS

Contact information

Practice address
955 MAIN ST SUITE 203, WINCHESTER, MA 01890
(781) 729-9390
(781) 729-6792
Mailing address
955 MAIN ST SUITE 203, WINCHESTER, MA 01890
(781) 729-9390

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20240
MA

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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