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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 ELK GROVE, California. NPI 1922261882 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · ELK GROVE, CA

Registration Details

NPI Number
1922261882
Provider Type
Organization
NPI Issued
Jul 9, 2008 (17.91565781392 yrs)
Last Updated
Aug 24, 2022

Practice Information

Address
9184 E STOCKTON BLVD STE A
ELK GROVE, CA, 956249510
Browse CA providers · Browse ZIP 95624
Phone
9162713737
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.