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Licensing details for: 11099

Name: FARIBORZ RODEF, DDS

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Sole Owner

Previous Names: FARIBORZ RODEF

Address of Record

8525 W. PICO BLVD.
LOS ANGELES CA 90035
LOS ANGELES county
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Practice Location

8525 W. PICO BLVD.
LOS ANGELES CA 90035
LOS ANGELES county
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Issuance Date

May 24, 2013

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
10:20:6 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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