| Make A Smile | |
|
9184 E Stockton Blvd Ste A Elk Grove CA 95624-9510 | |
| (916) 271-3737 | |
| Not Available |
| Full Name | Make A Smile |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9184 E Stockton Blvd Ste A, Elk Grove, California |
| Authorized Official Name and Position | Monica Tavallaei (OWNER) |
| Authorized Official Contact | 9162713737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Make A Smile 2260 E Bidwell St # 314 Folsom CA 95630-3555 Ph: (916) 271-3737 | Make A Smile 9184 E Stockton Blvd Ste A Elk Grove CA 95624-9510 Ph: (916) 271-3737 |
| NPI Number | 1922261882 |
|---|---|
| Provider Enumeration Date | 07/09/2008 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922261882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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