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Organization

CHRISTOPHER G JAGHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTPHER GEORGE JAGHAB (OWNER)
(248) 855-4800
Entity
Organization

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
2901018429
MI

Other

Enumeration date
12/20/2011
Last updated
12/20/2011
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