Individual
DR. SHAHROKH C BAGHERI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D. D.M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, BLDG H, MARIETTA, GA 30068-5518
(770) 977-0364
(678) 819-6531
Mailing address
1000 JOHNSON FERRY RD, BLDG H, MARIETTA, GA 30068-5518
(770) 977-0364
(678) 819-6531
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
054541
GA
Other
Enumeration date
06/13/2005
Last updated
07/08/2007
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