Northborough Family Dental, Pc | |
154 Main St Northborough MA 01532-1930 | |
(508) 393-2522 | |
(508) 393-9782 |
Full Name | Northborough Family Dental, Pc |
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Speciality | Clinic/center - Dental |
Location | 154 Main St, Northborough, Massachusetts |
Authorized Official Name and Position | Alexander J Moheban (OWNER) |
Authorized Official Contact | 5083932522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northborough Family Dental, Pc 154 Main St Northborough MA 01532-1930 Ph: (508) 393-2522 | Northborough Family Dental, Pc 154 Main St Northborough MA 01532-1930 Ph: (508) 393-2522 |
NPI Number | 1760870497 |
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Provider Enumeration Date | 01/05/2015 |
Last Update Date | 01/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760870497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 1855167 (Massachusetts) | Primary |
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