Individual
MOHAMMAD M YAGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8220 UNIVERSITY EXECUTIVE PARK DRIVE, 110, CHARLOTTE, NC 28262
(704) 547-8783
(704) 510-2530
Mailing address
8220 UNIVERSITY EXECUTIVE PARK DRIVE, 110, CHARLOTTE, NC 28262
(704) 547-8783
(704) 510-2530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7990063
—
NC
01
—
90063
BLUE CROSS BLUE SHIELD OF
NC
Enumeration date
12/14/2006
Last updated
07/08/2007
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