institution
Tavallaei, D.m.d., Corporation
Pediatric Dentist in El Dorado Hills, California
NPI 1184780587

Tavallaei, D.m.d., Corporation is a Pediatric Dentist based in El Dorado Hills, CA and is specialized in Pediatric Dentistry. Tavallaei, D.m.d., Corporation practices in El Dorado Hills, CA. The NPI Number for Tavallaei, D.m.d., Corporation is 1184780587 and holds a License No. 48036 (California).

The current practice location address for Tavallaei, D.m.d., Corporation is 3840 El Dorado Hills Blvd, El Dorado Hills, CA and can be reached out via phone at 916-941-0303 and via fax at 916-983-9012.

Location: 3840 El Dorado Hills Blvd, El Dorado Hills, CA, 95762-4567
institution
Provider Profile Details
NPI Number
1184780587
Provider Name
Tavallaei, D.m.d., Corporation
Credential
Provider Entity Type
Organization
Address
3840 El Dorado Hills Blvd, El Dorado Hills, CA, 95762-4567
Phone Number
916-941-0303
Fax Number
916-983-9012
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3840 El Dorado Hills Blvd
City
State
Zip
95762-4567
Phone Number
916-941-0303
Fax Number
916-983-9012
person
Provider Business Mailing Address Details
Address
3840 El Dorado Hills Blvd
City
State
Zip
95762-4567
Phone Number
916-941-0303
Fax Number
916-983-9012
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
48036 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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