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Licensing details for: 16530

Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF F. RODEF & B. YOUSEFI DENTAL CORPORATION

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Address of Record

100 N. HARBOR BLVD. SUITE #C-6
SANTA ANA CA 92703
ORANGE county
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Practice Location

100 N. HARBOR BLVD. SUITE #C-6
SANTA ANA CA 92703
ORANGE county
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Issuance Date

May 12, 2021

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
4:8:9 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: YOUSEFI, BABAK

Address Not Disclosed

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

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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: YOUSEFI, BABAK

License/Registration Type: Dentist License

License Number: 49464 Primary Status: Current - Active

Address :
2124 Redondo Beach Blvd
TORRANCE CA 90504-1616
LOS ANGELES COUNTY

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