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

Tavallaei, DMD, Corporation

Organization Pediatric Dentistry · NPI 1386159879

Tavallaei, DMD, Corporation is a Pediatric Dentistry in San Ramon, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

9130 Alcosta Blvd Ste A
San Ramon, CA 94583-3847
Phone: (925) 402-4141
Fax: (916) 983-9012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 1700020026 (CA)

Record details

NPI number1386159879
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Castillo — Operations Manager · (916) 781-6550
Other names Make A Smile
NPI enumeratedDecember 6, 2017
Last updated in NPPESAugust 10, 2022
Certification dateAugust 10, 2022
Mailing address2260 E Bidwell St Ste 310, Folsom, CA 95630-3555

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