TAVALLAEI, D.M.D., CORPORATION

ELK GROVE, CA
NPI1922261882
Entity TypeOrganization
Authorized ContactMONICA TAVALLAEI
Owner
916-271-3737
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist Pediatric Dentistry
Enumeration Date2008-07-09
Last Update Date2022-08-24
Business Address
TAVALLAEI, D.M.D., CORPORATION
9184 E STOCKTON BLVD STE A
ELK GROVE, CA 95624-9510
Phone number: 916-271-3737
Mailing Address
TAVALLAEI, D.M.D., CORPORATION
2260 E BIDWELL ST # 314
FOLSOM, CA 95630-3555
Phone number: 916-271-3737
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