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Licensing details for: 10595

Name: FARIBORZ RODEF, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Previous Names: RODEF, FARIBORZ

Address of Record

9810 SIERRA AVE. #D
FONTANA CA 92335
SAN BERNARDINO county
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Issuance Date

October 20, 2011

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
4:45:6 AM

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Additional Office Permit

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