Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tavallaei DMD Corp

Organization Dentist · NPI 1013623586

Tavallaei DMD Corp is a Dentist in Placerville, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4363 Golden Center Dr # A
Placerville, CA 95667-6260
Phone: (916) 984-0304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1013623586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Castillo — Business Manager · (916) 781-6550
NPI enumeratedJanuary 26, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address2260 E Bidwell St # 316, Folsom, CA 95630-3555

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