Manouchehri & Rodef Dental Corporation | |
701 N. Milliken Ave., #701b Ontario CA 91764 | |
(310) 625-3773 | |
Not Available |
Full Name | Manouchehri & Rodef Dental Corporation |
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Speciality | Dentist - Pediatric Dentistry |
Location | 701 N. Milliken Ave., #701b, Ontario, California |
Authorized Official Name and Position | Fariborz Rodef (PRESIDENT) |
Authorized Official Contact | 3106253773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Manouchehri & Rodef Dental Corporation 8950 W. Olympic Blvd., Ste 343 Beverly Hills CA 90211 Ph: (310) 625-3773 | Manouchehri & Rodef Dental Corporation 701 N. Milliken Ave., #701b Ontario CA 91764 Ph: (310) 625-3773 |
NPI Number | 1902202823 |
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Provider Enumeration Date | 11/05/2014 |
Last Update Date | 11/05/2014 |
Identifier | Type | State | Issuer |
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1902202823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 38356 (California) | Primary |
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