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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAVALLAEI, D.M.D., CORPORATION

Active Organization

TAVALLAEI, D.M.D., CORPORATION is a Pediatric Dentistry organization located in ROCKLIN, California. NPI 1871752915 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · ROCKLIN, CA

Registration Details

NPI Number
1871752915
Provider Type
Organization
NPI Issued
Jun 4, 2008 (18.21003566929 yrs)
Last Updated
Apr 12, 2016
License
48036 (CA)

Practice Information

Address
2241 SUNSET BLVD
SUITE D
ROCKLIN, CA, 957654295
Browse CA providers · Browse ZIP 95765
Phone
9163800102
Fax
9169839012
Primary Specialty
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.