TAVALLAEI, D.M.D., CORPORATION

GRANITE BAY, CA
NPI1134716939
Doing Business AsMAKE A SMILE
Entity TypeOrganization
Authorized ContactMEGAN CASTILLO
Operations Manager
916-781-6550
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2020-12-28
Last Update Date2022-08-10
Business Address
TAVALLAEI, D.M.D., CORPORATION
4060 DOUGLAS BLVD STE 110
GRANITE BAY, CA 95746-5934
Phone number: 916-260-0646
Mailing Address
TAVALLAEI, D.M.D., CORPORATION
2260 E BIDWELL ST # 313
FOLSOM, CA 95630-3555
Phone number: