| NPI | 1134927130 |
|---|---|
| Doing Business As | CHILDRENS DENTAL FUNZONE |
| Entity Type | Organization |
| Authorized Contact | FARIBORZ RODEF President 310-625-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |