Individual
DR. DARYOUSH ABEROUMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1213 COFFEE RD STE K, MODESTO, CA 95355-4229
(209) 577-2303
Mailing address
616 N 7TH ST APT 739, SAINT LOUIS, MO 63101-1329
(650) 772-0248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108763
CA
Other
Enumeration date
07/12/2022
Last updated
05/10/2024
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