Tavallaei, DMD, Corporation
Tavallaei, DMD, Corporation is a Pediatric Dentistry in Fairfield, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
1955 W Texas St Ste 2AFairfield, CA 94533-4462
Phone: (916) 707-7973
Show map & directions
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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 number | 1740795657 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Megan Castillo — Manager · (916) 781-6550 |
| NPI enumerated | December 14, 2017 |
| Last updated in NPPES | December 15, 2017 |
| Mailing address | 2260 E Bidwell St # 311, Folsom, CA 95630-3555 |
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