Organization
KOHAN & RODEF DENTAL CORPORATION
Active
Parent organization
KOHAN & RODEF DENTAL CORPORATION
Other names
Childrens Dental Funzone
Organization subpart
Yes
Provider details
NPI number
Legal business name
KOHAN & RODEF DENTAL CORPORATION
Authorized official
MR. FARIBORZ RODEF DDS (OWNER)
(626) 412-0200
Entity
Organization
Contact information
Practice address
500 SAN FERNANDO MISSION BLVD #110, SAN FERNARDO, CA 91340-4061
(818) 403-6722
(747) 253-7532
Mailing address
2235A E. GARVEY AVE N., WEST COVINA, CA 91791-1500
(626) 412-0200
(626) 214-0037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62906
CA
1223P0221X
Pediatric Dentistry
Primary
38356
CA
Other
Enumeration date
06/14/2018
Last updated
01/23/2026
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