| Northborough Family Dental, Pc | |
| 
					154 Main St Northborough MA 01532-1930  | |
| (508) 393-2522 | |
| (508) 393-9782 | 
| Full Name | Northborough Family Dental, Pc | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| Provider Enumeration Date | 01/05/2015 | 
| Last Update Date | 01/05/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760870497 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1855167 (Massachusetts) | Primary | 
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M Moheban Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Main St, Northborough, MA 01532 Phone: 508-393-2522 Fax: 508-393-9782  | |
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