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 1538225503

Tavallaei, DMD, Corporation is a Pediatric Dentistry in Folsom, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

2190 E Bidwell St
Folsom, CA 95630
Phone: (916) 984-0304
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 48036 (CA)

Record details

NPI number1538225503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Tavallaei — Owner · (916) 984-0304
Other names Make A Smile
NPI enumeratedDecember 28, 2006
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address2190 E. Bidwell St., Folsom, CA 95630

Other providers in Folsom