Individual
DR. FARDAD MOBED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
603 BROADWAY, REVERE, MA 02151-3045
(781) 289-3600
Mailing address
14 WEBB AVE, WELLESLEY, MA 02481-5431
(781) 289-3600
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
18187
MA
1223E0200X
Endodontics
Primary
18187
MA
1223G0001X
General Practice Dentistry
18187
MA
Other
Enumeration date
03/30/2007
Last updated
06/03/2008
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