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Tavallaei Dmd Corp
Pediatric Dentist in Lincoln, California
NPI 1417399502

Tavallaei Dmd Corp is a Pediatric Dentist based in Folsom, CA and is specialized in Pediatric Dentistry. Tavallaei Dmd Corp practices in Lincoln, CA. The NPI Number for Tavallaei Dmd Corp is 1417399502 and holds a License No. 48036 (California).

The current practice location address for Tavallaei Dmd Corp is 731 Sterling Pkwy, Lincoln, CA and can be reached out via phone at 916-258-7639 and via fax at 916-983-9012.

Location: 731 Sterling Pkwy, Lincoln, CA, 95630-3463
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417399502
Provider Name
Tavallaei Dmd Corp
Credential
Provider Entity Type
Organization
Address
731 Sterling Pkwy, Lincoln, CA, 95630-3463
Phone Number
916-258-7639
Fax Number
916-983-9012
Provider Enumeration Date
07/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
731 Sterling Pkwy
City
Lincoln
State
California
Zip
95648-7306
Phone Number
916-258-7639
Fax Number
916-983-9012
person
Provider Business Mailing Address Details
Address
731 Sterling Pkwy
City
Lincoln
State
California
Zip
95648-7306
Phone Number
916-258-7639
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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