NPI | 1780205047 |
---|---|
Doing Business As | CHILDRENS DENTAL FUNZONE |
Entity Type | Organization |
Authorized Contact | FARIBORZ RODEF President 626-412-0200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2020-04-28 |
Last Update Date | 2020-04-28 |