MODESTO DERMATOLOGY AND SKIN CANCER PC

MODESTO, CA
NPI1093079485
Entity TypeOrganization
Authorized ContactDANIEL TAHERI
President
209-575-2700
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2012-06-29
Last Update Date2012-06-29
Business Address
MODESTO DERMATOLOGY AND SKIN CANCER PC
3105 MCHENRY AVE
MODESTO, CA 95350-1439
Phone number: 209-575-2700
Mailing Address
MODESTO DERMATOLOGY AND SKIN CANCER PC
PO BOX 496084
REDDING, CA 96049-6084
Phone number: 209-575-2700
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