Individual provider · Type 1 NPI

Mansour Moheban, DMD

Periodontics · Northborough, MA

NPI number 1679632467 Active

Practice location

154 Main St
Northborough, MA 01532-1930

Fax (508) 393-9782

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X11905 (MA)

Periodontics: 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.

4 other providers at this address

About NPI 1679632467

Mansour Moheban, DMD's National Provider Identifier is 1679632467, issued on Dec 7, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Northborough, MA. The record was last updated on Feb 25, 2008.