Tavallaei Dmd Corp
NPI #1417399502 in Lincoln, California
Provider Information
- NPI Number
- 1417399502
- Entity Type
- Organization
- Organization Name
- Tavallaei Dmd Corp
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jul 18, 2013
- Last Updated
- Aug 4, 2022
Practice Location
- Address
- 731 STERLING PKWY
- Address 2
- SUITE 100
- City
- Lincoln
- State
- California
- ZIP Code
- 95648-7306
- Phone
- (916) 258-7639
Authorized Official
- Name
- DR. MONICA TAVALLAEI
- Title
- OWNER
- Phone
- (916) 258-7639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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