TAVALLAEI, D.M.D., CORPORATION

FOLSOM, CA
NPI1538225503
Doing Business AsMAKE A SMILE
Entity TypeOrganization
Authorized ContactMONICA TAVALLAEI
Owner
916-984-0304
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: CA  48036)
Enumeration Date2006-12-28
Last Update Date2022-08-04
Business Address
TAVALLAEI, D.M.D., CORPORATION
2190 E. BIDWELL ST.
FOLSOM, CA 95630
Phone number: 916-984-0304
Mailing Address
TAVALLAEI, D.M.D., CORPORATION
2190 E. BIDWELL ST.
FOLSOM, CA 95630
Phone number: 916-984-0304