Tavallaei, D.m.d., Corporation
NPI #1538225933 in Auburn, California
Provider Information
- NPI Number
- 1538225933
- Entity Type
- Organization
- Organization Name
- Tavallaei, D.m.d., Corporation
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Jan 18, 2011
Practice Location
- Address
- 500 AUBURN FOLSOM RD
- Address 2
- SUITE330
- City
- Auburn
- State
- California
- ZIP Code
- 95603
- Phone
- (530) 368-3685
Authorized Official
- Name
- MS. MONICA TAVALLAEI, D.M.D.
- Title
- OWNER
- Phone
- (530) 368-3685
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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