Organization · Type 2 NPI
Tavallaei, D.m.d., Corporation
Pediatric Dentistry · San Ramon, CA
NPI number
1386159879
Active
Practice location
9130 Alcosta Blvd Ste A
San Ramon, CA 94583-3847
Fax (916) 983-9012
Mailing address
2260 E Bidwell St Ste 310
Folsom, CA 95630-3555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 1700020026 (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.
4 other providers at this address
Other pediatric dentistry providers in San Ramon
About NPI 1386159879
Tavallaei, D.m.d., Corporation's National Provider Identifier is 1386159879, issued on Dec 6, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Ramon, CA. The record was last updated on Aug 10, 2022.