| M. Tavallaei, Dmd, Inc. | |
|
6000 Fairway Dr Suite 8b Rocklin CA 95677-4244 | |
| (916) 984-4224 | |
| (916) 984-4248 |
| Full Name | M. Tavallaei, Dmd, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6000 Fairway Dr, Rocklin, California |
| Authorized Official Name and Position | Monica Tavallaei (OWNER) |
| Authorized Official Contact | 9169844224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Tavallaei, Dmd, Inc. 6000 Fairway Dr Suite 8b Rocklin CA 95677-4244 Ph: (916) 984-4224 | M. Tavallaei, Dmd, Inc. 6000 Fairway Dr Suite 8b Rocklin CA 95677-4244 Ph: (916) 984-4224 |
| NPI Number | 1750614541 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750614541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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