Organization
DARYOUSH ABEROUMAND, D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARYOUSH ABEROUMAND DMD (CEO, CFO, SECRETARY)
(650) 772-0248
Entity
Organization
Contact information
Practice address
1213 COFFEE ROAD SUITE K, MODESTO, CA 95355
(209) 577-2303
(209) 523-2308
Mailing address
1213 COFFEE ROAD SUITE K, MODESTO, CA 95355-4229
(209) 577-2303
(209) 523-2308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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