Tavallaei, D.M.D., Corporation
ActiveCalifornia license 80318
License
- Licensed by
- Dental Board of California
- License number
- 80318
- Status
- Active (Current)
- First issued
- October 4, 2019
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Additional Office Permit Dental
More from the license record
- License type code
- 4409
- Related
- Tavallaei Monica (48036)
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Contact
9184 E Stockton Blvd Suite A
Elk Grove, CA 95624
Elk Grove, CA 95624
Sacramento County