# HODA IMENI BASSIRI, D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fusion Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619399151
- **Authorized official:** HODA IMENI BASSIRI D.D.S. (PRESIDENT)
- **Authorized official phone:** (919) 977-7480

## Contact information

- **Practice address:** 6400 CREEDMOOR RD, SUITE 103, RALEIGH, NC 27613-3600
- **Practice address phone:** (919) 977-7480
- **Practice address fax:** (919) 977-7481
- **Mailing address:** 6400 CREEDMOOR RD, SUITE 103, RALEIGH, NC 27613-4481
- **Mailing address phone:** (919) 977-7480
- **Mailing address fax:** (919) 977-7481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9284 | NC | Yes |

## Other

- **Enumeration date:** 01/17/2014
- **Last updated:** 06/11/2016