Provider Demographics
NPI:1548146111
Name:RODEF DENTAL OFFICE OF CHINO HILLS INC.
Entity type:Organization
Organization Name:RODEF DENTAL OFFICE OF CHINO HILLS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FARIBORZ
Authorized Official - Middle Name:
Authorized Official - Last Name:RODEF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-412-0200
Mailing Address - Street 1:2235A E. GARVEY AVE N.
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-1500
Mailing Address - Country:US
Mailing Address - Phone:626-412-0200
Mailing Address - Fax:
Practice Address - Street 1:12201 CENTRAL AVE
Practice Address - Street 2:SUITE 11
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2154
Practice Address - Country:US
Practice Address - Phone:909-781-4453
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty