Organization · Type 2 NPI

Tavallaei DMD Corp

Dental Clinic/Center · Stockton, CA

NPI number 1407690811 Active

Practice location

5756 Pacific Ave Ste 75A
Stockton, CA 95207-5156

Call (916) 984-0304 Map

Mailing address

400 Plaza Dr # 120-319
Folsom, CA 95630-4744

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

Other dental clinic/center providers in Stockton

See all in Stockton →

About NPI 1407690811

Tavallaei DMD Corp's National Provider Identifier is 1407690811, issued on Jun 20, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Stockton, CA. The record was last updated on Jun 20, 2024.