Dental Board of California
Licensing details for: 16546
Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF & KOHAN OFFICE OF VAN NUYS INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF & KOHAN DENTAL OFFICE OF VAN NUYS INC. ❖ CHILDREN'S FUNZONE DENTAL OFFICE OF RODEF & KOHAN DENTAL OFFICE OF VAN NUYS INC.
License Relationships
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



