Organization
MANOUCHEHRI & RODEF DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBORZ RODEF D.D.S. (PRESIDENT)
(310) 625-3773
Entity
Organization
Contact information
Practice address
701 N. MILLIKEN AVE., #701B, ONTARIO, CA 91764
(310) 625-3773
Mailing address
8950 W. OLYMPIC BLVD., STE 343, BEVERLY HILLS, CA 90211
(310) 625-3773
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
38356
CA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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