| Childrens Dental Funzone | |
|
233 South Fremont Ave Alhambra CA 91801 | |
| (626) 412-0200 | |
| Not Available |
| Full Name | Childrens Dental Funzone |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 233 South Fremont Ave, Alhambra, California |
| Authorized Official Name and Position | Fariborz Rodef (CEO) |
| Authorized Official Contact | 3106253773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Childrens Dental Funzone 2235 E Garvey Ave N Ste A West Covina CA 91791-1540 Ph: (626) 412-0200 | Childrens Dental Funzone 233 South Fremont Ave Alhambra CA 91801 Ph: (626) 412-0200 |
| NPI Number | 1780205047 |
|---|---|
| Provider Enumeration Date | 04/28/2020 |
| Last Update Date | 08/03/2026 |
| Certification Date | 08/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780205047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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