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Tavallaei, D.m.d., Corporation
Pediatric Dentist in Sacramento, California
NPI 1194107748

Tavallaei, D.m.d., Corporation is a Pediatric Dentist based in Folsom, CA and is specialized in Pediatric Dentistry. Tavallaei, D.m.d., Corporation practices in Sacramento, CA. The NPI Number for Tavallaei, D.m.d., Corporation is 1194107748 and holds a License No. 48036 (California).

The current practice location address for Tavallaei, D.m.d., Corporation is 7227 29Th St Ste A, Sacramento, CA and can be reached out via phone at 916-984-0304 and via fax at 916-983-9012.

Location: 7227 29Th St Ste A, Sacramento, CA, 95630-3463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194107748
Provider Name
Tavallaei, D.m.d., Corporation
Credential
Provider Entity Type
Organization
Address
7227 29Th St Ste A, Sacramento, CA, 95630-3463
Phone Number
916-984-0304
Fax Number
916-983-9012
Provider Enumeration Date
06/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7227 29Th St Ste A
City
Sacramento
State
California
Zip
95822-5005
Phone Number
916-984-0304
Fax Number
916-983-9012
person
Provider Business Mailing Address Details
Address
7227 29Th St Ste A
City
Sacramento
State
California
Zip
95822-5005
Phone Number
916-984-0304
Fax Number
916-983-9012
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
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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