| NPI | 1598464026 |
|---|---|
| Doing Business As | CHILDRENS DENTAL FUNZONE |
| Entity Type | Organization |
| Authorized Contact | FARIBORZ RODEF CEO/President 626-412-0200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-02-23 |