Organization
RODEF & KOHAN DENTAL OFFICE OF VAN NUYS INC
Active
Other names
Childrens Dental Fun Zone
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBORZ RODEF DDS (OWNER DDS)
(626) 412-0200
Entity
Organization
Contact information
Practice address
6822 VAN NUYS BLVD, VAN NUYS, CA 91405-4625
(626) 412-0200
Mailing address
2233 E GARVEY AVE N # N, WEST COVINA, CA 91791-1500
(626) 412-0200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
04/20/2021
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