TAVALLAEI DMD CORP

STOCKTON, CA
NPI1407690811
Doing Business AsMAKE A SMILE
Entity TypeOrganization
Authorized ContactMEGAN CASTILLO
Admin
916-781-6550
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-06-20
Last Update Date2024-06-20