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Individual

FARBOD BAGHAEI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13470 PLAZA ROAD EXT STE 100, CHARLOTTE, NC 28215-8925
(980) 350-8614
Mailing address
13470 PLAZA ROAD EXT STE 100, CHARLOTTE, NC 28215-8925
(980) 350-8614

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
063804-01
NY
1223G0001X
General Practice Dentistry
Primary
14499
NC
1223G0001X
General Practice Dentistry
38240
TX

Other

Enumeration date
04/08/2021
Last updated
07/01/2026
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