License holder summary

M. TAVALLAEI, DMD, INC is a Dental - Additional Office licensed to practice in California. The address on file for M. TAVALLAEI, DMD, INC is 1568 CREEKSIDE DR. FOLSOM CA 95630. This licensed professional license is not current. The license was granted 11/02/2009 and expired on 09/30/2013.

California

Department of Consumer Affairs

M. TAVALLAEI, DMD, INC
Dental - Additional Office
License number
10052
Date granted
11/02/2009
Date expires
09/30/2013
Class
Dental - Additional Office
Status
Canceled
Address
1568 CREEKSIDE DR. FOLSOM CA 95630
californialicensing.org
ID 10866755
LAST UPDATED 2024-03-03 02:03:32 UTC

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