NPI | 1992892616 |
---|---|
Doing Business As | CHILDREN'S DENTAL FUN ZONE |
Entity Type | Organization |
Authorized Contact | FARIBORZ RODEF President 626-966-3033 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 38356) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2020-08-22 |