Mobed, Fardad
Mobed, Fardad is an individual health care provider with primary practice located at 603 Broadway , Revere MA 02151-3045. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / Endodontics is his primary health care specialty. Mobed, Fardad can be contacted via phone (781) 289-3600.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | 18187 | Massachusetts |
| Dental Providers / Endodontics | 1223E0200X | 18187 | Massachusetts |
| Dental Providers / General Practice | 1223G0001X | 18187 | Massachusetts |
Profile Details
| NPI number | 1912027293 |
|---|---|
| LBN Legal business name | Mobed, Fardad |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jun 3rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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