| Kohan & Rodef Dental Corporation | |
|
500 San Fernando Mission Blvd #110 San Fernardo CA 91340-4061 | |
| (818) 403-6722 | |
| (747) 253-7532 |
| Full Name | Kohan & Rodef Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 San Fernando Mission Blvd #110, San Fernardo, California |
| Authorized Official Name and Position | Fariborz Rodef (OWNER) |
| Authorized Official Contact | 6264120200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kohan & Rodef Dental Corporation 2235a E. Garvey Ave N. West Covina CA 91791-1500 Ph: (626) 412-0200 | Kohan & Rodef Dental Corporation 500 San Fernando Mission Blvd #110 San Fernardo CA 91340-4061 Ph: (818) 403-6722 |
| NPI Number | 1235623190 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 01/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235623190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 62906 (California) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 38356 (California) | Primary |