Organization
FARIBORZ RODEF DENTAL CORPORATION
Active
Parent organization
FARIBORZ RODEF DENTAL CORPORATION
Other names
Childrens Dental Funzone
Organization subpart
Yes
Provider details
NPI number
Legal business name
FARIBORZ RODEF DENTAL CORPORATION
Authorized official
FARIBORZ RODEF (PRESIDENT)
(626) 412-0200
Entity
Organization
Contact information
Practice address
233 SOUTH FREMONT AVE, ALHAMBRA, CA 91801
(626) 412-0200
Mailing address
2225 E. GARVEY AVE N., WEST COVINA, CA 91791
(626) 412-0200
(626) 214-0037
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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