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Individual

DR. CHRISTOPHER GEORGE JAGHAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
5760 DRAKE RD, WEST BLOOMFIELD, MI 48322-1262
(248) 855-4800
Mailing address
5760 DRAKE RD, WEST BLOOMFIELD, MI 48322-1262
(248) 855-4800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18429
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4798325
MI
Enumeration date
03/01/2007
Last updated
12/20/2011
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