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Individual

DANIEL B MOHEBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
200 LINCOLN ST, SUITE 5, WORCESTER, MA 01605-2528
(508) 756-6264
(508) 756-6490
Mailing address
200 LINCOLN ST, SUITE 5, WORCESTER, MA 01605-2528
(508) 756-6264
(508) 756-6490

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20965
MA

Other

Enumeration date
07/26/2006
Last updated
06/08/2018
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