DR. Kian Tavallaei, DDS

NPI #1013205301 in Moraga, California

Provider Information

NPI Number: 1013205301
Entity Type: Individual
Name: DR. Kian Tavallaei, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 20, 2011
Last Updated: Jul 21, 2020

Practice Location

Address: 533 MORAGA ROAD SUITE 230
City: Moraga
State: California
ZIP Code: 94556
Phone: (925) 376-0322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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