Dental Board of California
Licensing details for: 20032
Name: CHILDREN'S DENTAL FUNZONE DENTAL OFFICE OF RODEF DENTAL OFFICE OF MORENO VALLEY, 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 RIALTO, INC.
Address of Record
12640 Day St
MORENO VALLEY CA 92553
RIVERSIDE 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
