Tavallaei, D.m.d., Corporation is a Pediatric Dental Clinic in Fairfield, California. It is located at 1955 W Texas St Ste 2a, Fairfield, CA and its contact number is 916-707-7973. The authorized person for Tavallaei, D.m.d., Corporation is Megan Castillo
who is Manager of the clinic and their contact number is 916-781-6550. The primary license number for Tavallaei, D.m.d., Corporation is 48036 (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:
1955 W Texas St Ste 2a, Fairfield, California, 94533-4462
Phone:
916-707-7973
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:
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:
1740795657
NPI Enumeration Date:
14 Dec, 2017
NPI Last Update On:
15 Dec, 2017
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
48036
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 # 311, Folsom, California
Zip:
95630-3555
Phone Number:
916-781-6550
Patients can reach Tavallaei, D.m.d., Corporation at 1955 W Texas St Ste 2a, Fairfield, California or can call to book an appointment on 916-707-7973. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.