Provider Demographics
NPI:1902538606
Name:QADRI, HOMAIS SALIM (DDS)
Entity type:Individual
Prefix:DR
First Name:HOMAIS
Middle Name:SALIM
Last Name:QADRI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 AUTUMN COVE CT
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4990
Mailing Address - Country:US
Mailing Address - Phone:281-316-9530
Mailing Address - Fax:
Practice Address - Street 1:3679 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3940
Practice Address - Country:US
Practice Address - Phone:951-683-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX385651223G0001X
CA1075571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice