| Childrens Dental Funzone | |
|
5628 Van Buren Blvd Suite #a Riverside CA 92503 | |
| (310) 625-3773 | |
| Not Available |
| Full Name | Childrens Dental Funzone |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5628 Van Buren Blvd Suite #a, Riverside, California |
| Authorized Official Name and Position | Fariborz Rodef (PRESIDENT) |
| Authorized Official Contact | 6264120200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Funzone 2233 E Garvey Ave N West Covina CA 91791 Ph: (626) 966-3033 | Childrens Dental Funzone 5628 Van Buren Blvd Suite #a Riverside CA 92503 Ph: (310) 625-3773 |
| NPI Number | 1740766146 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 10/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740766146 | NPI | - | NPPES |
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