| Tavallaei, D.m.d., Corporation | |
|
1955 W Texas St Ste 2a Fairfield CA 94533-4462 | |
| (916) 707-7973 | |
| Not Available |
| Full Name | Tavallaei, D.m.d., Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1955 W Texas St Ste 2a, Fairfield, California |
| Authorized Official Name and Position | Megan Castillo (MANAGER) |
| Authorized Official Contact | 9167816550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tavallaei, D.m.d., Corporation 2260 E Bidwell St # 311 Folsom CA 95630-3555 Ph: (916) 781-6550 | Tavallaei, D.m.d., Corporation 1955 W Texas St Ste 2a Fairfield CA 94533-4462 Ph: (916) 707-7973 |
| NPI Number | 1740795657 |
|---|---|
| Provider Enumeration Date | 12/14/2017 |
| Last Update Date | 12/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740795657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 48036 (California) | Primary |
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Niousha Saghafi, Dds, Msd, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1411 Oliver Rd Ste 330, Fairfield, CA 94534 Phone: 707-716-1783 | |
David A. Sestero, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1295 Oliver Rd, Fairfield, CA 94534 Phone: 707-427-3172 | |
County Of Solano Dental Clinic Medicare: Medicare Enrolled Practice Location: 2201 Courage Drive, Fairfield, CA 94533 Phone: 707-784-2010 Fax: 707-435-2032 | |
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