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Licensing details for: 300

Name: RODEF, FARIBORZ

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Previous Names: RODEF, FARIBARZ RODEFSHALEM, FARIBARZ

Address of Record

8950 OLYMPIC BLVD #343
BEVERLY HILLS CA 90211
LOS ANGELES county
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Issuance Date

January 2, 2001

Expiration Date

January 31, 2023

Current Date / Time

December 13, 2025
7:58:0 AM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: RODEF, FARIBORZ

License/Registration Type: Dentist License

License Number: 38356 Primary Status: Current - Active

Address :
2233 E GARVEY AVE N
WEST COVINA CA 91791
LOS ANGELES COUNTY

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