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Licensing details for: 80581

Name: FARIBORZ RODEF DENTAL CORPORATION

License Type: Additional Office Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

233 SOUTH FREMONT AVE.
ALHAMBRA CA 91801
LOS ANGELES county
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Practice Location

2235 E Garvey Ave N Ste A
WEST COVINA CA 91791-1540
LOS ANGELES county
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233 SOUTH FREMONT AVE
ALHAMBRA CA 91801
LOS ANGELES county
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Issuance Date

June 3, 2020

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
4:59:50 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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