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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
DR. MONICA TAVALLAEI D.M.D. (OWNER)
(916) 984-4224
Entity
Organization
Contact information
Practice address
6000 FAIRWAY DR, SUITE 8B, ROCKLIN, CA 95677-4244
(916) 984-4224
(916) 984-4248
Mailing address
6000 FAIRWAY DR, SUITE 8B, ROCKLIN, CA 95677-4244
(916) 984-4224
(916) 984-4248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
01/18/2011
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