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 1508349606

Tavallaei, DMD, Corporation is a Pediatric Dentistry in Citrus Heights, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

6406 Sunrise Blvd Ste A
Citrus Heights, CA 95610-5992
Phone: (916) 306-0333
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1508349606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Castillo — Operations Manager · (916) 781-6550
Other names Make A Smile Dental
NPI enumeratedSeptember 13, 2018
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022
Mailing address2260 E Bidwell St, Folsom, CA 95630-3555

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