Organization
DR. FARDAD MOBED, P.C.
Active
Other names
Northgate Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARDAD MOBED (OWNER)
(781) 289-3600
Entity
Organization
Contact information
Practice address
603 BROADWAY, REVERE, MA 02151-3045
(781) 289-3600
Mailing address
603 BROADWAY, REVERE, MA 02151-3045
(781) 289-3600
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18187
MA
1223G0001X
General Practice Dentistry
18187
MA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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