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Dr. Mansour Moheban, DMD
Periodontist in Northborough, Massachusetts
NPI 1679632467

Mansour Moheban is a Periodontist based in Northborough, MA and is specialized in Periodontics. Mansour Moheban practices in Northborough, MA and has the professional credentials of DMD. The NPI Number for Mansour Moheban is 1679632467 and holds a License No. 11905 (Massachusetts).

The current practice location address for Mansour Moheban is 154 Main St, Northborough, MA and can be reached out via phone at 508-393-2522 and via fax at 508-393-9782.

Location: 154 Main St, Northborough, MA, 01532-1930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679632467
Provider Name
Mansour Moheban
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
154 Main St, Northborough, MA, 01532-1930
Phone Number
508-393-2522
Fax Number
508-393-9782
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
154 Main St
City
Northborough
State
Massachusetts
Zip
01532-1930
Phone Number
508-393-2522
Fax Number
508-393-9782
person
Provider Business Mailing Address Details
Address
154 Main St
City
Northborough
State
Massachusetts
Zip
01532-1930
Phone Number
508-393-2522
Fax Number
508-393-9782
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
11905 (Massachusetts)
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 structures and tissues.
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