Tavallaei, DMD, Corporation
Tavallaei, DMD, Corporation is a Dentist in Granite Bay, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4060 Douglas Blvd Ste 110Granite Bay, CA 95746-5934
Phone: (916) 260-0646
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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 number | 1134716939 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Megan Castillo — Operations Manager · (916) 781-6550 |
| Other names | Make A Smile |
| NPI enumerated | December 28, 2020 |
| Last updated in NPPES | August 10, 2022 |
| Certification date | August 10, 2022 |
| Mailing address | 2260 E Bidwell St # 313, Folsom, CA 95630-3555 |
Other providers in Granite Bay
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William Gordon Harris, BSC, DDS
6965 Douglas Blvd, Granite Bay, CA 95746-6256 · (916) 791-7998
-
Rick Wayne Jaeger, DDS
8400 Woodthrush Way, Granite Bay, CA 95746 · (916) 783-8153
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Dr. Jerry H. Martin, DDS
4150 Douglas Blvd # A, Granite Bay, CA 95746-5964 · (916) 791-2733
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S. Jang DDS Incorporated
4060 Douglas Blvd Ste 110, Granite Bay, CA 95746-5934 · (916) 260-0704