Dental Board of California
Licensing details for: 14457
Name: CHILDREN'S DENTAL FUN ZONE DENTAL OFFICE OF KOHAN & RODEF DENTAL CORPORATION
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: RODEF, FARIBORZ
Address Not Disclosed
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: KOHAN, FARNAZ
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name 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
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: KOHAN, FARNAZ
License/Registration Type: Dentist License
License Number: 62906 Primary Status: Current - Active
Address :
13065 Victory Blvd
13065 Victory Plaza
NORTH HOLLYWOOD CA 91606-2925
LOS ANGELES COUNTY
