Mobed, Fardad

Mobed, Fardad is an individual health care provider with primary practice located at 603 Broadway , Revere MA 02151-3045. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / Endodontics is his primary health care specialty. Mobed, Fardad can be contacted via phone (781) 289-3600.

Contact Information

Primary practice address
603 Broadway Revere MA 02151-3045
Phone: (781) 289-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 18187 Massachusetts
Dental Providers / Endodontics 1223E0200X 18187 Massachusetts
Dental Providers / General Practice 1223G0001X 18187 Massachusetts

Profile Details

NPI number 1912027293
LBN Legal business name Mobed, Fardad
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jun 3rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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