NPI

Kian Tavallaei

NPI 1013205301

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
DDS
Type
Individual
Enumeration date
2011-07-20
Last updated
2020-07-21

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Specialties

Licenses

License CA
60553

Location

Practice location
533 Moraga Road Suite 230
City
Moraga CA
Postal code
94556
Phone
(925) 376-0322
Fax
(925) 376-0436

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Dentists in Moraga, CA. 5 with this primary taxonomy in the public file.

Other NPIs in Moraga, CA. 110 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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