Dental Board of California
Licensing details for: 16878
Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF & MOADEL DENTAL CORP.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF & MOADEL DENTALCORP.
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: MOADEL, MATTHEW NABI
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: MOADEL, MATTHEW NABI
License/Registration Type: Dentist License
License Number: 57793 Primary Status: Current - Active
Address :
3727 Royal Woods Dr
SHERMAN OAKS CA 91403-4217
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: 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
