Organization
RODEF DENTAL OFFICE OF RESEDA INC
Active
Other names
Childrens dental funzone
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBORZ RODEF DDS (OWNER)
(626) 412-0200
Entity
Organization
Contact information
Practice address
6846 RESEDA BLVD STE C, RESEDA, CA 91335-8512
(310) 625-3773
Mailing address
6846 RESEDA BLVD STE C, RESEDA, CA 91335-8512
(310) 625-3773
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
38356
CA
Other
Enumeration date
03/02/2016
Last updated
10/22/2021
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