Individual
BEHROUZ SAMI DARYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
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
1223P0221X
Pediatric Dentistry
D7814
OR
1223P0221X
Pediatric Dentistry
DN18092
FL
Other
Enumeration date
04/19/2009
Last updated
06/23/2014
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