| Kohan & Rodef Dental Corporation | |
|
500 San Fernardo Mission Blvd Suite #2 San Fernardo CA 91340 | |
| (626) 966-3033 | |
| Not Available |
| Full Name | Kohan & Rodef Dental Corporation |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 San Fernardo Mission Blvd Suite #2, San Fernardo, California |
| Authorized Official Name and Position | Fariborz Rodef (PRESIDENT) |
| Authorized Official Contact | 6269663033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kohan & Rodef Dental Corporation 2233 E. Garvey Ave N. West Covina CA 91791 Ph: (626) 966-3033 | Kohan & Rodef Dental Corporation 500 San Fernardo Mission Blvd Suite #2 San Fernardo CA 91340 Ph: (626) 966-3033 |
| NPI Number | 1235623190 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 06/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235623190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 62906 (California) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 38356 (California) | Primary |