Organization
ROBLES RODEF & YAGHOUBI 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
5628 VAN BUREN BLVD SUITE #A, RIVERSIDE, CA 92503
(310) 625-3773
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
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
08/03/2026
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