Organization
OMID KHAKSARFARD DDS PLLC
Active
Other names
Omira Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PEZESHKIAN (MANAGER)
(919) 584-5184
Entity
Organization
Contact information
Practice address
308 N TAYLOR ST, GOLDSBORO, NC 27530-4022
(919) 584-5184
(919) 751-6976
Mailing address
308 N TAYLOR ST, GOLDSBORO, NC 27530-4022
(919) 584-5184
(919) 751-6976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2026
Last updated
07/01/2026
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