Individual
HOMAYOUN SADRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1914 MCKINNEY ST, BURLINGTON, NC 27217-2954
(336) 570-6415
(336) 221-1264
Mailing address
1914 MCKINNEY ST, BURLINGTON, NC 27217-2954
(336) 570-6415
(336) 221-1264
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
8754
NC
1223G0001X
General Practice Dentistry
8754
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913811
—
NC
Enumeration date
05/19/2009
Last updated
02/01/2021
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