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Licensing details for: 80339

Name: F. RODEF, DDS, INC.

License Type: Additional Office Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Address of Record

137 N. MONTEBELLO BLVD. #B
MONTEBELLO CA 90640
LOS ANGELES county
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Practice Location

137 N. MONTEBLLO BLVD. #B
MONTEBELLO CA 90640
LOS ANGELES county
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Issuance Date

October 18, 2019

Expiration Date

January 31, 2021

Current Date / Time

December 13, 2025
9:47:21 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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