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Tavallaei Dmd Corp
Pediatric Dentist in Folsom, California
NPI 1467877894

Tavallaei Dmd Corp is a Pediatric Dentist based in Rocklin, CA and is specialized in Pediatric Dentistry. Tavallaei Dmd Corp practices in Folsom, CA. The NPI Number for Tavallaei Dmd Corp is 1467877894 and holds a License No. 48036 (California).

The current practice location address for Tavallaei Dmd Corp is 2260 E Bidwell St, Folsom, CA and can be reached out via phone at 916-380-0102.

Location: 2260 E Bidwell St, Folsom, CA, 95765-4295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467877894
Provider Name
Tavallaei Dmd Corp
Credential
Provider Entity Type
Organization
Address
2260 E Bidwell St, Folsom, CA, 95765-4295
Phone Number
916-380-0102
Fax Number
Provider Enumeration Date
02/21/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2260 E Bidwell St
City
Folsom
State
California
Zip
95630-3463
Phone Number
916-380-0102
Fax Number
person
Provider Business Mailing Address Details
Address
2260 E Bidwell St
City
Folsom
State
California
Zip
95630-3463
Phone Number
916-380-0102
Fax Number
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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