Individual
DR. FARHAD KEVIN BAGHAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
527 TUSKEGEE AIRMAN BLVD. BLDG 500, SHEPPARD AFB, TX 76311
(940) 676-1914
Mailing address
2100 SANTA FE ST APT 808, WICHITA FALLS, TX 76309-3454
(248) 719-6660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601356
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/14/2022
Last updated
10/04/2023
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