M. Tavallaei, Dmd,inc.

NPI #1578724928 in Folsom, California

Provider Information

NPI Number
1578724928
Entity Type
Organization
Organization Name
M. Tavallaei, Dmd,inc.
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 18, 2008
Last Updated
Jun 18, 2012

Practice Location

Address
2260 E BIDWELL ST
Address 2
SUITE 110
City
Folsom
ZIP Code
95630-3463
Phone
(916) 984-4224

Authorized Official

Name
DR. MONICA TAVALLAEI, D.M.D.
Title
OWNER
Phone
(916) 984-4224

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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