| NPI | 1619399151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HODA IMENI BASSIRI President 919-977-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 9284) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2016-06-11 |