Moheban, Mansour
Moheban, Mansour is an sole proprietor health care provider with primary practice located at 154 Main St , Northborough MA 01532-1930. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Moheban, Mansour can be contacted via phone (508) 393-2522.Contact Information
Primary practice address
154 Main St
Northborough MA 01532-1930
Phone: (508) 393-2522
Fax: (508) 393-9782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 11905 | Massachusetts |
Profile Details
| NPI number | 1679632467 |
|---|---|
| LBN Legal business name | Moheban, Mansour |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 7th, 2006 |
| Last updated | Feb 25th, 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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