Organization
ROBLES RODEF & YAGHOUBI DENTAL CORPORATION
Active
Parent organization
ROBLES BOZORGMANESH RODEF & YAGHOUBI
Other names
Childrens Dental Funzone
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBLES BOZORGMANESH RODEF & YAGHOUBI
Authorized official
MR. FARIBORZ RODEF DDS (PRESIDENT)
(626) 412-0200
Entity
Organization
Contact information
Practice address
5628 VAN BUREN BLVD SUITE #A, RIVERSIDE, CA 92503
(310) 625-3773
Mailing address
2233 E GARVEY AVE N, WEST COVINA, CA 91791
(626) 966-3033
(626) 214-0037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
56506
CA
122300000X
Dentist
58304
CA
122300000X
Dentist
64776
CA
1223P0221X
Pediatric Dentistry
Primary
38356
CA
Other
Enumeration date
07/18/2018
Last updated
10/14/2019
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