Dental Board of California
Licensing details for: 15412
Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF F. RODEF DDS INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
Practice Location
137 N. MONTEBELLO BLVD. #B
MONTEBELLO CA 90640
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: RODEF, FARIBORZ
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
