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Monica Tavallaei, DMD
Pediatric Dentist in Folsom, California
NPI 1356558159

Monica Tavallaei is a Pediatric Dentist based in Folsom, CA and is specialized in Pediatric Dentistry. Monica Tavallaei practices in Folsom, CA and has the professional credentials of DMD. The NPI Number for Monica Tavallaei is 1356558159 and holds a License No. 48036 (California).

The current practice location address for Monica Tavallaei is 2190 E Bidwell St, Folsom, CA and can be reached out via phone at 916-984-0304 and via fax at 916-983-9012.

Location: 2190 E Bidwell St, Folsom, CA, 95630-6469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356558159
Provider Name
Monica Tavallaei
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2190 E Bidwell St, Folsom, CA, 95630-6469
Phone Number
916-984-0304
Fax Number
916-983-9012
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2190 E Bidwell St
City
Folsom
State
California
Zip
95630-6469
Phone Number
916-984-0304
Fax Number
916-983-9012
person
Provider Business Mailing Address Details
Address
2190 E Bidwell St
City
Folsom
State
California
Zip
95630-6469
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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