TAVALLAEI DMD CORP

PLACERVILLE, CA
NPI1013623586
Entity TypeOrganization
Authorized ContactMEGAN CASTILLO
Business Manager
916-781-6550
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2023-01-26
Last Update Date2023-01-26
Business Address
TAVALLAEI DMD CORP
4363 GOLDEN CENTER DR # A
PLACERVILLE, CA 95667-6260
Phone number: 916-984-0304
Mailing Address
TAVALLAEI DMD CORP
2260 E BIDWELL ST # 316
FOLSOM, CA 95630-3555
Phone number:
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