Tavallaei Dmd Corp
NPI #1295466761 in Citrus Heights, California
Provider Information
- NPI Number
- 1295466761
- Entity Type
- Organization
- Organization Name
- Tavallaei Dmd Corp
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 23, 2022
- Last Updated
- Aug 24, 2022
Practice Location
- Address
- 7803 MADISON AVE BLDG C SUITE 700A
- City
- Citrus Heights
- State
- California
- ZIP Code
- 95610
- Phone
- (916) 306-0333
Authorized Official
- Name
- MEGAN CASTILLO
- Title
- OPERATIONS MANAGER
- Phone
- (916) 781-6550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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