Dental Board of California
Licensing details for: 19992
Name: CHILDREN'S DENTAL FUNZONE OF RODEF DENTAL OFFICE OF RIALTO, INC.
License Type: Fictitious Name Permit
Primary Status: Current - Active
Organization Classification: Corporation
Previous Names: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF DENTAL OFFICE OF MORENO VALLEY, INC.
Address of Record
1154 N. Riverside Ave
RIALTO CA 92376
SAN BERNARDINO county
Map
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
