Tavallaei, D.m.d., Corporation
Dentist · Granite Bay, CA
At a glance
4060 Douglas Blvd Ste 110, Granite Bay, CA 95746-5934
NPPES record updated Aug 10, 2022. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
4060 Douglas Blvd Ste 110Granite Bay, CA 95746-5934
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Dentist
- Taxonomy code
- 122300000X
- Enumeration date
- Dec 28, 2020
- Record updated
- Aug 10, 2022
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Dentist
122300000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
4060 Douglas Blvd Ste 110Granite Bay, CA 95746-5934
- Phone
- (916) 260-0646
Mailing address
2260 E BIDWELL ST # 313FOLSOM, CA 956303555
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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