IDEEN A MODARRES DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035125

License Status

ACTIVE

Business

Title

DDS

First Name

IDEEN

Middle

Last Name

MODARRES

Business Name

IDEEN A MODARRES DDS

Original Issue Date

05/29/2024

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

POTOMAC

State

Zip

20854

Ever Disciplined

LastModifiedDate

02/24/2026