| NPI | 1912367012 |
|---|---|
| Doing Business As | CHILDRENS DENTAL FUNZONE |
| Entity Type | Organization |
| Authorized Contact | FARIBORZ RODEF Owner 626-412-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 38356) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2021-10-22 |