Organization
MOHAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANIK MOHAN DDS (OWNER/MEMBER)
(408) 391-6024
Entity
Organization
Contact information
Practice address
721 NORWICH RD, PLAINFIELD, CT 06374-1734
(408) 391-6024
Mailing address
285 PLANTATION ST, APT #328, WORCESTER, MA 01604-7701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11055
CT
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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