M. Tavallaei, Dmd, Inc.
NPI #1750614541 in Rocklin, California
Provider Information
- NPI Number
- 1750614541
- Entity Type
- Organization
- Organization Name
- M. Tavallaei, Dmd, Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 10, 2009
- Last Updated
- Jan 18, 2011
Practice Location
- Address
- 6000 FAIRWAY DR
- Address 2
- SUITE 8B
- City
- Rocklin
- State
- California
- ZIP Code
- 95677-4244
- 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 Practice — General Practice |
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