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Organization
HODA IMENI BASSIRI, D.D.S., P.A.
Active
Organization
HODA IMENI BASSIRI, D.D.S., P.A.
Active
Other names
Fusion Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
HODA IMENI BASSIRI D.D.S. (PRESIDENT)
(919) 977-7480
Entity
Organization
Contact information
Practice address
6400 CREEDMOOR RD, SUITE 103, RALEIGH, NC 27613-3600
(919) 977-7480
(919) 977-7481
Mailing address
6400 CREEDMOOR RD, SUITE 103, RALEIGH, NC 27613-4481
(919) 977-7480
(919) 977-7481
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9284
NC
Other
Enumeration date
01/17/2014
Last updated
06/11/2016
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