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Organization

RODEF & MOADEL DENTAL CORP

Active
Other names
childrens dental funzone
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARIBORZ RODEF DDS (PRESIDENT CEO)
(626) 412-0200
Entity
Organization

Contact information

Practice address
137 N MONEBELLO BLVD, #H, MONTEBELLO, CA 90640-0000
(310) 625-3773
(626) 966-3063
Mailing address
137 N MONEBELLO BLVD, #H, MONTEBELLO, CA 90640-0000
(310) 625-3773
(626) 966-3063

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
38356
CA

Other

Enumeration date
08/06/2009
Last updated
12/21/2022
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