Individual provider · Type 1 NPI

Monica Tavallaei, DMD

Pediatric Dentistry · Folsom, CA

NPI number 1356558159 Active

Practice location

2190 E Bidwell St
Folsom, CA 95630-6469

Call (916) 984-0304 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.

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About NPI 1356558159

Monica Tavallaei, DMD's National Provider Identifier is 1356558159, issued on May 17, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Folsom, CA. The record was last updated on Jun 5, 2008.