Organization
TAVALLAEI, D.M.D., CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN CASTILLO (MANAGER)
(916) 781-6550
Entity
Organization
Contact information
Practice address
1955 W TEXAS ST STE 2A, FAIRFIELD, CA 94533-4462
(916) 707-7973
Mailing address
2260 E BIDWELL ST # 311, FOLSOM, CA 95630-3555
(916) 781-6550
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
48036
CA
Other
Enumeration date
12/14/2017
Last updated
12/15/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up