Dental Board of California
Licensing details for: 17972
Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF, YAGHOUBI, ROBLES DENTAL OFFICE OF COLTON, INC.
License Type: Fictitious Name Permit
Primary Status: Expired
Organization Classification: Corporation
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: ROBLES, ARMINDA VIVIANA
Address Not Disclosed
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: YAGHOUBI, EDMOND
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: ROBLES, ARMINDA VIVIANA
License/Registration Type: Dentist License
License Number: 56506 Primary Status: Current - Active
Address :
5628 Van Buren Blvd
RIVERSIDE CA 92503-2080
RIVERSIDE 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
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: YAGHOUBI, EDMOND
License/Registration Type: Dentist License
License Number: 58304 Primary Status: Current - Active
Address :
1748 S Corning St
LOS ANGELES CA 90035-4302
LOS ANGELES COUNTY
