Individual
DR. KAVEH SHOKOUFI MOGHIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
10900 MEDLOCK BRIDGE RD STE 303, JOHNS CREEK, GA 30097-1505
(470) 545-8269
Mailing address
10900 MEDLOCK BRIDGE RD STE 303, JOHNS CREEK, GA 30097-1505
(404) 790-2331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122351
GA
Other
Enumeration date
06/23/2021
Last updated
10/22/2022
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