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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