Organization
BEHROUZ SAMI, DMD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHROUZ SAMI DARYANI D.M.D (PRESIDENT/OWNER)
(209) 549-2400
Entity
Organization
Contact information
Practice address
556 LYELL DR, MODESTO, CA 95356-8970
(209) 549-2400
Mailing address
556 LYELL DR, MODESTO, CA 95356-8970
(209) 549-2400
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
56883
CA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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