Tavallaei, D.m.d., Corporation
NPI #1386159879 in San Ramon, California
Provider Information
- NPI Number
- 1386159879
- Entity Type
- Organization
- Organization Name
- Tavallaei, D.m.d., Corporation
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 6, 2017
- Last Updated
- Aug 10, 2022
Practice Location
- Address
- 9130 ALCOSTA BLVD STE A
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-3847
- Phone
- (925) 402-4141
Authorized Official
- Name
- MEGAN CASTILLO
- Title
- OPERATIONS MANAGER
- Phone
- (916) 781-6550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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