| NPI | 1467877894 |
|---|---|
| Doing Business As | MAKE A SMILE CHILDREN'S DENTAL |
| Entity Type | Organization |
| Authorized Contact | MONICA TAVALLAEI Owner 916-781-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 48036) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2022-08-10 |