Make A Smile

LBN: Tavallaei, D.M.D., Corporation
Make A Smile is an health care organization with primary practice located at 3840 El Dorado Hills Blvd Suite 203, El Dorado Hills CA 95762-4567. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Tavallaei, D.M.D., Corporation can be contacted via phone (916) 941-0303, or through Tavallaei, Monica via phone (916) 941-0303.

Contact Information

Primary practice address
3840 El Dorado Hills Blvd Suite 203 El Dorado Hills CA 95762-4567
Fax: (916) 983-9012
Website:
Authorized official contact:
Name: Tavallaei, Monica Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 48036 California

Profile Details

NPI number 1184780587
LBN Legal business name Tavallaei, D.M.D., Corporation
DBA Doing business as Make A Smile
Authorized official Tavallaei, Monica Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Aug 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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