| Make A Smile | |
|
500 Auburn Folsom Rd Suite330 Auburn CA 95603 | |
| (530) 368-3685 | |
| (916) 983-9012 |
| Full Name | Make A Smile |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 Auburn Folsom Rd, Auburn, California |
| Authorized Official Name and Position | Monica Tavallaei (OWNER) |
| Authorized Official Contact | 5303683685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Make A Smile 500 Auburn Folsom Rd Suite330 Auburn CA 95603 Ph: (530) 368-3685 | Make A Smile 500 Auburn Folsom Rd Suite330 Auburn CA 95603 Ph: (530) 368-3685 |
| NPI Number | 1538225933 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538225933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 48036 (California) | Primary |
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