| NPI | 1114158151 |
|---|---|
| Doing Business As | CHILDRENS DENTAL FUNZONE |
| Entity Type | Organization |
| Authorized Contact | FARIBORZ RODEF President CEO 626-412-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 38356) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2022-12-21 |