Tavallaei, D.m.d., Corporation
NPI #1871752915 in Rocklin, California
Provider Information
- NPI Number
- 1871752915
- Entity Type
- Organization
- Organization Name
- Tavallaei, D.m.d., Corporation
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jun 4, 2008
- Last Updated
- Apr 12, 2016
Practice Location
- Address
- 2241 SUNSET BLVD
- Address 2
- SUITE D
- City
- Rocklin
- State
- California
- ZIP Code
- 95765-4295
- Phone
- (916) 380-0102
Authorized Official
- Name
- DR. MONICA TAVALLAEI, DMD
- Title
- PEDIATRIC DENTIST
- Phone
- (916) 380-0102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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