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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