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ROBLES RODEF & YAGHOUBI DENTAL CORPORATION NPI 1740766146


NPI Information

NPI: 1740766146
Provider Name: ROBLES RODEF & YAGHOUBI DENTAL CORPORATION

Doing Business As: CHILDRENS DENTAL FUNZONE

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
5628 VAN BUREN BLVD SUITE #A
RIVERSIDE, CA
ZIP 92503
Phone: (310) 625-3773
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ROBLES RODEF & YAGHOUBI DENTAL CORPORATION is a pediatric dentistry dentist in Riverside, 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. ROBLES RODEF & YAGHOUBI DENTAL CORPORATION NPI is 1740766146. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Childrens Dental Funzone.

The provider's business location address is:

5628 VAN BUREN BLVD SUITE #A
RIVERSIDE, CA
ZIP 92503
Phone: (310) 625-3773

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

The enumeration date for this NPI number is 7/18/2018 and was last updated on 10/14/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist64776CALIFORNIANo
2122300000XDentist56506CALIFORNIANo
3122300000XDentist58304CALIFORNIANo
41223P0221XDentistPediatric 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: 4/28/2024

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