NPI 1114462140

Gofs McDonough LLC

Organisation Oral and Maxillofacial Surgery (Dentist) McDonough, GA

Practice location

Address: 125 Westridge Industrial Blvd Suite 303, McDonough, GA 30253-9098
Phone: (678) 304-6494
Mailing address: 1880 W Oak Pkwy Suite 111, Marietta, GA 30062-2272

Authorised official

Name: Shahrokh Bagheri
Title: Owner
Phone: (678) 905-9066

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X

Other Dentist providers in Georgia →

Registry record

NPI: 1114462140
Entity type: Organization
NPI issued: 29 Dec 2016
Record last updated: 29 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.