Farzad Tavallaei D.D.S.

NPI 1013205301 - Dentist - 122300000X

NPI Details
NPI 1013205301
Gender Male
Enumeration Date 07/20/2011
Last Updated 04/29/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
1002 COUNTRY CLUB DR
MORAGA CA, 94556-1924, US
Phone (925) 376-0322
Fax
Business Location
1002 COUNTRY CLUB DR
MORAGA CA, 94556-1924, US
Phone (925) 376-0322
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 60553
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According to our database, Dr. Farzad Tavallaei D.D.S. NPI is 1013205301, taxonomy code is 122300000X and license number is 60553, license state is located at California. Farzad Tavallaei D.D.S. physically located at 1002 Country Club Dr, Moraga CA, 94556-1924. NPI Number Farzad Tavallaei D.D.S. has the Individual type.

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1013205301 NPI number is provided on an as is basis without warranty of any kind. 1013205301 is maintained by the National Plan & Provider Enumeration System. The contents of Farzad Tavallaei D.D.S. are for informational purposes only.