Organization
RODEF DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBORZ RODEF DDS (PRESIDENT)
(310) 625-3773
Entity
Organization
Contact information
Practice address
9810 SIERRA AVE #D, FONTANA, CA 92335-0000
(310) 625-3773
(626) 966-3033
Mailing address
9810 SIERRA AVE STE D, FONTANA, CA 92335-6779
(310) 625-3773
(626) 966-3033
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
38356
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
38356
CA
Other
Enumeration date
08/10/2011
Last updated
09/02/2011
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