| NPI | 1417399502 |
|---|---|
| Doing Business As | MAKE A SMILE CHILDREN'S DENTAL |
| Entity Type | Organization |
| Authorized Contact | MONICA TAVALLAEI Owner 916-258-7639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 48036) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2022-08-04 |