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
Business Address
TAVALLAEI DMD CORP
5756 PACIFIC AVE STE 75A
STOCKTON, CA 95207-5156
Phone number: 916-984-0304
Mailing Address
TAVALLAEI DMD CORP
400 PLAZA DR # 120-319
FOLSOM, CA 95630-4744
Phone number: