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Organization

YOUSEFI, RODEF & YAGHOUBI DENTAL CORPORATION

Active
Other names
Children's Dental Fun Zone
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARIBORZ RODEF DDS (SECRETARY)
(310) 625-3773
Entity
Organization

Contact information

Practice address
8525 W PICO BLVD, LOS ANGELES, CA 90035-2409
(310) 625-3773
(323) 255-9634
Mailing address
8950 W OLYMPIC BLVD, # 343, BEVERLY HILLS, CA 90211-3561
(310) 625-3773
(323) 255-9634

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1223P0221X
Pediatric Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
05/13/2013
Last updated
05/13/2013
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