Organization · Type 2 NPI

Tavallaei, D.m.d., Corporation

Pediatric Dentistry · El Dorado Hills, CA

NPI number 1184780587 Active

Practice location

3840 El Dorado Hills Blvd, Suite 203
El Dorado Hills, CA 95762-4567

Call (916) 941-0303 Map

Fax (916) 983-9012

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X48036 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

7 other providers at this address

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About NPI 1184780587

Tavallaei, D.m.d., Corporation's National Provider Identifier is 1184780587, issued on Dec 29, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in El Dorado Hills, CA. The record was last updated on Aug 4, 2022.