Gofs Mcdonough Llc | |
125 Westridge Industrial Blvd Suite 303 Mcdonough GA 30253-9098 | |
(678) 304-6494 | |
Not Available |
Full Name | Gofs Mcdonough Llc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 125 Westridge Industrial Blvd, Mcdonough, Georgia |
Authorized Official Name and Position | Shahrokh Bagheri (OWNER) |
Authorized Official Contact | 6789059066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gofs Mcdonough Llc 1880 W Oak Pkwy Suite 111 Marietta GA 30062-2272 Ph: () - | Gofs Mcdonough Llc 125 Westridge Industrial Blvd Suite 303 Mcdonough GA 30253-9098 Ph: (678) 304-6494 |
NPI Number | 1114462140 |
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Provider Enumeration Date | 12/29/2016 |
Last Update Date | 12/29/2016 |
Identifier | Type | State | Issuer |
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1114462140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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