Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIAN TAVALLAEI, DDS
Active Sole ProprietorDR. KIAN TAVALLAEI, DDS is a Dentist healthcare provider located in MORAGA, California. NPI 1013205301 is currently active in the NPPES registry. Verify at CMS.
Dentist · MORAGA, CA
Registration Details
- NPI Number
- 1013205301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2011 (14.924756491396 yrs)
- Last Updated
- Jul 21, 2020
- License
-
60553 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
533 MORAGA ROAD SUITE 230MORAGA, CA, 94556Browse CA providers · Browse ZIP 94556
- Phone
- 9253760322
- Fax
- 9253760436
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MORAGA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. NORMAN J HANSON | D.D.S. | 1063567485 |
| DR. ELISA RUSSELL | DDS | 1366568859 |
| JOSEPH ZINGALE | DDS | 1477916211 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.