| Sousan Amiri, D.d.s., P.a | |
|
8001 N Tryon St Charlotte NC 28262-3410 | |
| (704) 769-2523 | |
| (888) 975-7633 |
| Full Name | Sousan Amiri, D.d.s., P.a |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8001 N Tryon St, Charlotte, North Carolina |
| Authorized Official Name and Position | Sousan Amiri (OWNER) |
| Authorized Official Contact | 7047692523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sousan Amiri, D.d.s., P.a 8001 N Tryon St Charlotte NC 28262-3410 Ph: (704) 769-2523 | Sousan Amiri, D.d.s., P.a 8001 N Tryon St Charlotte NC 28262-3410 Ph: (704) 769-2523 |
| NPI Number | 1114484516 |
|---|---|
| Provider Enumeration Date | 02/22/2019 |
| Last Update Date | 02/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114484516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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