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Individual

HODA IMENI BASSIRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

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 27613-3600
(919) 977-7480
(919) 977-7481

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9284
NC

Other

Enumeration date
05/26/2012
Last updated
06/11/2016
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