Tavallaei DMD Corp
Tavallaei DMD Corp is a Dental Clinic/Center in Stockton, California. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5756 Pacific Ave Ste 75AStockton, CA 95207-5156
Phone: (916) 984-0304
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1407690811 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Megan Castillo — Admin · (916) 781-6550 |
| Other names | Make A Smile |
| NPI enumerated | June 20, 2024 |
| Last updated in NPPES | June 20, 2024 |
| Certification date | June 20, 2024 |
| Mailing address | 400 Plaza Dr # 120-319, Folsom, CA 95630-4744 |
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