Daniel Moheban Dmd PC
NPI #1114247301 in Worcester, Massachusetts
Provider Information
- NPI Number
- 1114247301
- Entity Type
- Organization
- Organization Name
- Daniel Moheban Dmd PC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jun 10, 2010
- Last Updated
- Jun 10, 2010
Practice Location
- Address
- 200 LINCOLN STREET
- City
- Worcester
- State
- Massachusetts
- ZIP Code
- 01605
- Phone
- (508) 756-6264
Authorized Official
- Name
- DR. DANIEL B MOHEBAN, DMD
- Title
- OWNER
- Phone
- (508) 756-6264
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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