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Individual

DR. SHAYAN BAROOTCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(773) 494-1922
Mailing address
1332 GEDDES AVE APT 2, ANN ARBOR, MI 48104-1656
(773) 494-1922

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2951000792
MI

Other

Enumeration date
02/04/2022
Last updated
02/04/2022
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