Organization
F RODEF & B YOUSEFI DENTAL CORPORATION
Active
Other names
Childrens Dental Funzone
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBORZ RODEF (CEO)
(310) 625-3773
Entity
Organization
Contact information
Practice address
100 N. HARBOR BLVD SUITE #C-7, SANTA ANA, CA 92703
(626) 412-0200
Mailing address
2235 E GARVEY AVE N STE A, WEST COVINA, CA 91791-1540
(626) 412-0200
(626) 214-0033
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/28/2019
Last updated
08/03/2026
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