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Organization
M. TAVALLAEI DMD INC
Active
Organization
M. TAVALLAEI DMD INC
Active
Other names
Smile Time Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA TAVALLAEI DMD (OWNER)
(916) 984-4224
Entity
Organization
Contact information
Practice address
3433 ARDEN WAY, SUITE B, SACRAMENTO, CA 95825-2018
(916) 984-4224
(916) 984-4248
Mailing address
2260 E. BIDWELL STREET, SUITE 309, FOLSOM, CA 95630
(916) 984-4224
(916) 984-4248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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