| Heidi L Chan Dds Inc | |
|
9241 Reseda Blvd Suite 104 Northridge CA 91324 | |
| (818) 709-4400 | |
| (818) 709-4056 |
| Full Name | Heidi L Chan Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 9241 Reseda Blvd, Northridge, California |
| Authorized Official Name and Position | Heidi L Chan (DENTIST) |
| Authorized Official Contact | 8187094400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heidi L Chan Dds Inc 9241 Reseda Blvd Suite 104 Northridge CA 91324 Ph: (818) 709-4400 | Heidi L Chan Dds Inc 9241 Reseda Blvd Suite 104 Northridge CA 91324 Ph: (818) 709-4400 |
| NPI Number | 1609922442 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609922442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46035 (California) | Primary |
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