Organization · Type 2 NPI
Tavallaei, D.m.d., Corporation
Pediatric Dentistry · Citrus Heights, CA
NPI number
1508349606
Active
Practice location
6406 Sunrise Blvd Ste A
Citrus Heights, CA 95610-5992
Mailing address
2260 E Bidwell St
Folsom, CA 95630-3555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
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.
Other pediatric dentistry providers in Citrus Heights
About NPI 1508349606
Tavallaei, D.m.d., Corporation's National Provider Identifier is 1508349606, issued on Sep 13, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Citrus Heights, CA. The record was last updated on Aug 5, 2022.