Rodef & Moadel Dental Corp
Dentist, Pediatric Dentistry in Montebello, CA. Organization (NPI-2).
Details
- NPI
- 1114158151
- Entity type
- Organization (NPI-2)
- Legal business name
- Rodef & Moadel Dental Corp
- Organization subpart
- No
- Enumeration date
- Aug 6, 2009
- Certification date
- Dec 21, 2022
- Last updated
- Dec 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 38356 | CA | Yes |
Other names
- Childrens Dental Funzone (Doing Business As)
Practice location
137 N Monebello Blvd#h
Montebello, CA 90640-0000
Phone 310-625-3773 · Fax 626-966-3063
Mailing address
137 N Monebello Blvd#h
Montebello, CA 90640-0000
Phone 310-625-3773 · Fax 626-966-3063
Authorized official
Fariborz Rodef
President Ceo
6264120200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 Pediatric Dentistry providers in Montebello · All 1,139 providers in Montebello
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