Mansour Moheban in Northborough - Periodontics

Mansour Moheban - NPI 1679632467

Mansour Moheban is a Periodontics in Northborough, Massachusetts. Mansour Moheban practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Mansour Moheban is 1679632467. The last update date is 2008-02-25.

Mansour Moheban's current location address is 154 Main St, Northborough, Massachusetts. You can contact this provider via phone number 5083932522 and fax number 5083939782. The mailing address for Mansour Moheban is 154 Main St, Northborough, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Mansour Moheban
Address 154 Main St, Northborough, Massachusetts
Phone Number 5083932522
Fax Number 5083939782
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1679632467
Provider Enumeration Date 2006-12-07
Last Updated Date 2008-02-25

Provider Mailing Address Detail

Address 154 Main St
City Northborough
State Massachusetts (MA)
Post Code 15321930
Phone Number 5083932522
Fax Number 5083939782

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 11905
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Mansour Moheban

What is the Mansour Moheban's unique identification number?

The Mansour Moheban has been assigned the NPI (National Provider Identifier) Number 1679632467 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Mansour Moheban is located?

The Mansour Moheban is situated at the following address: 154 Main St, Northborough, MA, 15321930.

What is Mansour Moheban's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mansour Moheban is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.

When did the Mansour Moheban receive its 1679632467?

The Mansour Moheban was issued its 1679632467 on 2006-12-07, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Mansour Moheban, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mansour Moheban, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-25.

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