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Licensing details for: 78917

Name: FARIBORZ RODEF, DDS

License Type: Additional Office Permit

Primary Status: Cancelled

Organization Classification: Sole Owner

Previous Names: FARIBORZ RODEF

Address of Record

6846 Reseda Blvd
Unit C
RESEDA CA 91335-8509
LOS ANGELES county
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Practice Location

6846 Reseda Blvd
Unit C
RESEDA CA 91335-8509
LOS ANGELES county
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Issuance Date

March 15, 2016

Expiration Date

January 31, 2023

Current Date / Time

June 7, 2025
5:3:57 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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