| Make A Smile Children's Dental | |
|
2260 E Bidwell St Suite 305 Folsom CA 95630-3463 | |
| (916) 380-0102 | |
| Not Available |
| Full Name | Make A Smile Children's Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2260 E Bidwell St, Folsom, California |
| Authorized Official Name and Position | Monica Tavallaei (OWNER) |
| Authorized Official Contact | 9167816550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Make A Smile Children's Dental 2241 Sunset Blvd Suite D Rocklin CA 95765-4295 Ph: (916) 380-0102 | Make A Smile Children's Dental 2260 E Bidwell St Suite 305 Folsom CA 95630-3463 Ph: (916) 380-0102 |
| NPI Number | 1467877894 |
|---|---|
| Provider Enumeration Date | 02/21/2014 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467877894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 48036 (California) | Primary |
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