Tavallaei, D.m.d., Corporation
Pediatric Dental Clinic
9130 Alcosta Blvd Ste A, San Ramon
California, 94583-3847
925-402-4141 916-983-9012
Maps & DirectionsTavallaei, D.m.d., Corporation is a Pediatric Dental Clinic in San Ramon, California. It is located at 9130 Alcosta Blvd Ste A, San Ramon, CA and its contact number is 925-402-4141. The authorized person for Tavallaei, D.m.d., Corporation is Megan Castillo
who is Operations Manager of the clinic and their contact number is 916-781-6550. The primary license number for Tavallaei, D.m.d., Corporation is 1700020026 (Pediatric Dentistry) in California.
Tavallaei, D.m.d., Corporation Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Tavallaei, D.m.d., Corporation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Tavallaei, D.m.d., Corporation |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 9130 Alcosta Blvd Ste A, San Ramon,
California, 94583-3847 |
| Phone: | 925-402-4141 |
| Fax: | 916-983-9012 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Megan Castillo |
| Position: | Operations Manager |
| Contact Number: | 916-781-6550 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Tavallaei, D.m.d., Corporation clinic are as mentioned below.
| NPI Number: | 1386159879 |
| NPI Enumeration Date: | 06 Dec, 2017 |
| NPI Last Update On: | 10 Aug, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tavallaei, D.m.d., Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 1700020026 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tavallaei, D.m.d., Corporation
2260 E Bidwell St Ste 310,
Folsom, California |
| Zip: | 95630-3555 |
| Phone Number: | -- |
| Fax Number: | -- |
Patients can reach Tavallaei, D.m.d., Corporation at
9130 Alcosta Blvd Ste A, San Ramon, California or can
call to book an appointment on 925-402-4141.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.