Organization
FARIBORZ RODEF DDS INC
Active
Other names
children's dental fun zone
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBORZ RODEF DDS (PRESIDENT)
(626) 966-3033
Entity
Organization
Contact information
Practice address
2233 E GARVEY AVE N, WEST COVINA, CA 91791-1500
(626) 966-3033
(626) 966-3063
Mailing address
2233 E GARVEY AVE N, WEST COVINA, CA 91791-1500
(626) 966-3033
(626) 966-3063
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
38356
CA
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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