Individual
DR. MASOUD SHOUKOOHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
99 MOCKINGBIRD DR, CARTERSVILLE, GA 30120-2826
(770) 386-3908
(770) 386-9986
Mailing address
99 MOCKINGBIRD DR, CARTERSVILLE, GA 30120-2826
(770) 386-3908
(770) 386-9986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11265
GA
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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