Dental Board of California
Licensing details for: 8580
Name: CHILDREN'S DENTAL FUN ZONE IV, DENTAL PRACTICE OF F. RODEF, DDS,
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Address of Record
137 N Montebello Blvd Ste H
MONTEBELLO CA 90640-4797
LOS ANGELES county
Map
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: RODEF, FARIBORZ
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: 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
