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RODEF & MOADEL DENTAL CORP NPI 1114158151


NPI Information

NPI: 1114158151
Provider Name: RODEF & MOADEL DENTAL CORP

Doing Business As: CHILDRENS DENTAL FUNZONE

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
137 N MONEBELLO BLVD
#H
MONTEBELLO, CA
ZIP 90640
Phone: (310) 625-3773
Get Directions

RODEF & MOADEL DENTAL CORP is a pediatric dentistry dentist in Montebello, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. RODEF & MOADEL DENTAL CORP NPI is 1114158151. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Childrens Dental Funzone.

The provider's business location address is:

137 N MONEBELLO BLVD
#H
MONTEBELLO, CA
ZIP 90640-000
Phone: (310) 625-3773
Fax: (626) 966-3063

The provider's authorized official is Fariborz Rodef .
The authorized official title is President Ceo and has the following contact phone number (626) 412-0200.

The enumeration date for this NPI number is 8/6/2009 and was last updated on 12/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry38356CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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