| Make A Smile | |
|
3840 El Dorado Hills Blvd Suite 203 El Dorado Hills CA 95762-4567 | |
| (916) 941-0303 | |
| (916) 983-9012 |
| Full Name | Make A Smile |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3840 El Dorado Hills Blvd, El Dorado Hills, California |
| Authorized Official Name and Position | Monica Tavallaei (PEDIATRIC DENTIST) |
| Authorized Official Contact | 9169410303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Make A Smile 3840 El Dorado Hills Blvd Suite 203 El Dorado Hills CA 95762-4567 Ph: (916) 941-0303 | Make A Smile 3840 El Dorado Hills Blvd Suite 203 El Dorado Hills CA 95762-4567 Ph: (916) 941-0303 |
| NPI Number | 1184780587 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184780587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 48036 (California) | Primary |
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