| Daryoush Aberoumand, D.m.d., Inc. | |
|
1213 Coffee Road Suite K Modesto CA 95355 | |
| (209) 577-2303 | |
| (209) 523-2308 |
| Full Name | Daryoush Aberoumand, D.m.d., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1213 Coffee Road Suite K, Modesto, California |
| Authorized Official Name and Position | Daryoush Aberoumand (CEO, CFO, SECRETARY) |
| Authorized Official Contact | 6507720248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daryoush Aberoumand, D.m.d., Inc. 1213 Coffee Road Suite K Modesto CA 95355-4229 Ph: (209) 577-2303 | Daryoush Aberoumand, D.m.d., Inc. 1213 Coffee Road Suite K Modesto CA 95355 Ph: (209) 577-2303 |
| NPI Number | 1922789106 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922789106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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