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Licensing details for: 9549

Name: CHILDREN'S DENTAL FUN ZONE V, DENTAL OFFICE OF RODEF DENTAL CORPO

License Type: Fictitious Name Permit

Primary Status: Current - Active

Organization Classification: Corporation

Previous Names: CHILDREN'S DENTAL FUN ZONE

Address of Record

9810 SIERRA AVENUE #D
FONTANA CA 92335
SAN BERNARDINO county
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Issuance Date

October 4, 2011

Expiration Date

January 31, 2027

Current Date / Time

June 7, 2025
4:30:18 AM

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

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