| Tavallaei, D.m.d., Corporation | |
|
7227 29th St Ste A Sacramento CA 95822-5005 | |
| (916) 984-0304 | |
| (916) 983-9012 |
| Full Name | Tavallaei, D.m.d., Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7227 29th St Ste A, Sacramento, California |
| Authorized Official Name and Position | Megan Castillo (OPERATIONS MANAGER) |
| Authorized Official Contact | 9167816550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tavallaei, D.m.d., Corporation 2260 E Bidwell St #309 Folsom CA 95630-3463 Ph: (916) 984-0304 | Tavallaei, D.m.d., Corporation 7227 29th St Ste A Sacramento CA 95822-5005 Ph: (916) 984-0304 |
| NPI Number | 1194107748 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194107748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 48036 (California) | Primary |
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