Organization
RODEF & YOUSEFI DENTAL CORPORATION
Active
Parent organization
RODEF & YOUSEFI DENTAL CORPORATION
Other names
Childrens Dental Funzone
Organization subpart
Yes
Provider details
NPI number
Legal business name
RODEF & YOUSEFI DENTAL CORPORATION
Authorized official
MR. FARIBORZ RODEF (PRESIDENT)
(626) 412-0200
Entity
Organization
Contact information
Practice address
3736 CRENSHAW BLVD, LOS ANGELES, CA 90016
(626) 412-0200
(626) 214-0037
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
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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