| Behrouz Sami, Dmd, Inc | |
|
556 Lyell Dr Modesto CA 95356-8970 | |
| (209) 549-2400 | |
| Not Available |
| Full Name | Behrouz Sami, Dmd, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 556 Lyell Dr, Modesto, California |
| Authorized Official Name and Position | Behrouz Sami Daryani (PRESIDENT/OWNER) |
| Authorized Official Contact | 2095492400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behrouz Sami, Dmd, Inc 556 Lyell Dr Modesto CA 95356-8970 Ph: (209) 549-2400 | Behrouz Sami, Dmd, Inc 556 Lyell Dr Modesto CA 95356-8970 Ph: (209) 549-2400 |
| NPI Number | 1063890689 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063890689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 56883 (California) | Primary |
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