Make A Smile Dental Group, Tavallaei, D.M.D., Corp.
ActiveCalifornia license 14469
License
- Licensed by
- Dental Board of California
- License number
- 14469
- Status
- Active (Current)
- First issued
- October 4, 2018
- Expires
- September 30, 2027
- Entity type
- Organization
Classifications
- Fictitious Name Permit Dental
More from the license record
- License type code
- 4412
- Related
- Tavallaei Monica (48036)
Contact
6406 Sunrise Blvd, #A
Citrus Heights, CA 95610
Citrus Heights, CA 95610
Sacramento County